# PRODUCTIVE REHAB GROUP

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

## Provider details

- **NPI number:** 1881839629
- **Authorized official:** MR. DEVAUGHN VINSON (P.T.A.)
- **Authorized official phone:** (210) 386-9936

## Contact information

- **Practice address:** 5033 KENTON ROYALLE, SAN ANTONIO, TX 78240-1559
- **Practice address phone:** (210) 386-9936
- **Mailing address:** PO BOX 300967, HOUSTON, TX 77230-0967
- **Mailing address phone:** (210) 386-9936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 2042778 | TX | Yes |

## Other

- **Enumeration date:** 12/08/2008
- **Last updated:** 12/08/2008