# TRAVEL REHAB LLC

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

## Provider details

- **NPI number:** 1275154189
- **Authorized official:** AVIONA FEDERICA GOETSCH (OWNER)
- **Authorized official phone:** (469) 584-6846

## Contact information

- **Practice address:** 8404 WARREN PKWY APT 1334, FRISCO, TX 75034-7084
- **Practice address phone:** (312) 785-2062
- **Mailing address:** 8404 WARREN PKWY APT 1334, FRISCO, TX 75034-7084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2020
- **Last updated:** 12/26/2023