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Organization

BRAZOSPORT REHABILITATION & WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DREW R. HOLT (COO)
(979) 297-3365
Entity
Organization

Contact information

Practice address
321 GARLAND DR, LAKE JACKSON, TX 77566
(979) 297-3365
(979) 297-3541
Mailing address
321 GARLAND DR, LAKE JACKSON, TX 77566
(979) 297-3365
(979) 297-3541

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
662630000
TX
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
06/06/2008
Last updated
02/24/2010
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