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Organization
LAKE JACKSON REHABILITATION AND WELLNESS CENTER
Active
Organization
LAKE JACKSON REHABILITATION AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL DOMINGUEZ (CHIEF OPERATING OFFICER)
(281) 802-1441
Entity
Organization
Contact information
Practice address
117 CIRCLE WAY ST, LAKE JACKSON, TX 77566-5233
(979) 480-9400
(979) 480-9410
Mailing address
242 FLAMINGO ISLAND DR, MISSOURI CITY, TX 77459-4611
(281) 802-1441
(713) 634-2697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
650330002
TX
Other
Enumeration date
06/19/2006
Last updated
05/14/2010
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