# GRACE IN MOTION REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225845290
- **Authorized official:** CELINA HAWTHORNE (OWNER, PROVIDER)
- **Authorized official phone:** (936) 585-1360

## Contact information

- **Practice address:** 3611 NORTH ST STE 110, NACOGDOCHES, TX 75965-2402
- **Practice address phone:** (936) 585-1360
- **Mailing address:** PO BOX 630642, NACOGDOCHES, TX 75963-0642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 2355S0801X | Speech-Language Assistant | — | NULL | — |
| 2355S0801X | Speech-Language Assistant | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 12/13/2024
- **Last updated:** 12/13/2024
