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Organization
TACTICAL REHABILITATION, INC.
Active
Organization
TACTICAL REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR MULLINAX JR. (COMPLIANCE OFFICER)
(423) 278-9023
Entity
Organization
Contact information
Practice address
2305 HISTORIC DECATUR RD STE 100, SAN DIEGO, CA 92106-6071
(423) 278-9023
Mailing address
2040 WILMINGTON HWY STE A, JACKSONVILLE, NC 28540-3191
(423) 278-9023
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
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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