Organization
GRACE IN MOTION REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELINA HAWTHORNE (OWNER, PROVIDER)
(936) 585-1360
Entity
Organization
Contact information
Practice address
3611 NORTH ST STE 110, NACOGDOCHES, TX 75965-2402
(936) 585-1360
Mailing address
PO BOX 630642, NACOGDOCHES, TX 75963-0642
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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