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Organization
NISAL CORP.
Active
Organization
NISAL CORP.
Active
Other names
ALLIED INJURY AND REHABILIATION
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN L MANZO (CREDENTIALING COORDINATOR)
(713) 378-0667
Entity
Organization
Contact information
Practice address
2918 SAN JACINTO ST STE 200, HOUSTON, TX 77004-2708
(713) 652-3145
(713) 652-3146
Mailing address
PO BOX 24809, HOUSTON, TX 77229-4809
(713) 652-3145
(713) 652-3146
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2083X0100X
Occupational Medicine Physician
—
NULL
2083X0100X
Occupational Medicine Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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