Organization
ANGEL LEAF REHAB AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA LUCIO OTR (CEO)
(281) 229-0263
Entity
Organization
Contact information
Practice address
309 PLANTATION DR, LAKE JACKSON, TX 77566-6142
(979) 418-7165
(800) 419-5153
Mailing address
337 SHERI LN, LAKE JACKSON, TX 77566-3269
(281) 229-0263
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/18/2011
Last updated
02/25/2026
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