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Organization
OPTIMUM REHABILITATION LTD
Active
Organization
OPTIMUM REHABILITATION LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA YOLANDA DABERA (INSURANCE BILLING SPECIALIST)
(979) 277-9186
Entity
Organization
Contact information
Practice address
3120 HWY 36 S, BRENHAM, TX 77833
(979) 277-9186
(979) 277-9924
Mailing address
3120 HWY 36 S, BRENHAM, TX 77833
(979) 277-9186
(979) 277-9924
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1026052
TX
225X00000X
Occupational Therapist
100446
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021688901
—
TX
Enumeration date
12/12/2005
Last updated
06/06/2008
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