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Organization
TACTICAL REHABILITATION INC
Active
Organization
TACTICAL REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN C LYONS (CFO)
(423) 262-9720
Entity
Organization
Contact information
Practice address
1911 N NEW BRAUNFELS AVE, SAN ANTONIO, TX 78208-1419
(910) 210-0790
(910) 210-0791
Mailing address
PO BOX 1306, JACKSONVILLE, NC 28541-1306
(423) 262-9720
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
NULL
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
07/11/2018
Last updated
03/15/2026
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