# ADVANCED STROKE REHABILITATION IN HOUSTON LLC

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

## Provider details

- **NPI number:** 1710746565
- **Authorized official:** JENNIFER PONDOC (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (559) 430-5790

## Contact information

- **Practice address:** 3402 GRACE HAVEN LN, HOUSTON, TX 77080-2765
- **Practice address phone:** (559) 430-5790
- **Mailing address:** 3402 GRACE HAVEN LN, HOUSTON, TX 77080-2765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2024
- **Last updated:** 03/14/2024
