| Southeast Residential Rehab Llc | |
|
2929 Allen Pkwy Ste 200, Houston, TX 77019-7123 | |
| (832) 341-5395 | |
| (281) 554-6875 |
| Full Name | Southeast Residential Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 2929 Allen Pkwy Ste 200, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265177042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Titus T. John |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912487430 PECOS PAC ID: 6204218217 Enrollment ID: I20220806000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Residential Rehab Llc 2929 Allen Pkwy Ste 200, Houston, TX 77019-7123 Ph: (832) 341-5395 | Southeast Residential Rehab Llc 2929 Allen Pkwy Ste 200, Houston, TX 77019-7123 Ph: (832) 341-5395 |
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