# BRAIN BASED REHAB, PLLC

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

## Provider details

- **NPI number:** 1558988428
- **Authorized official:** KAREN M FERGASON PT (OWNER)
- **Authorized official phone:** (210) 268-4558

## Contact information

- **Practice address:** 23165 BAT CAVE RD, SAN ANTONIO, TX 78266-2686
- **Practice address phone:** (210) 268-4558
- **Mailing address:** 23165 BAT CAVE RD, SAN ANTONIO, TX 78266-2686
- **Mailing address phone:** (210) 268-4558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2020
- **Last updated:** 06/26/2020