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Organization
TANGRAM REHABILITATION NETWORK, INC.
Active
Organization
TANGRAM REHABILITATION NETWORK, INC.
Active
Other names
Rehab Without Walls Neuro Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
(502) 394-2011
Entity
Organization
Contact information
Practice address
545 W HUTCHISON ST, SAN MARCOS, TX 78666-4411
(512) 396-1200
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101761
—
TX
Enumeration date
05/22/2007
Last updated
04/14/2024
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