Organization
TANGRAM REHABILITATION NETWORK, INC.
Active
Other names
Rehab Without Walls Neuro Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
(502) 394-2011
Entity
Organization
Contact information
Practice address
545 W HUTCHISON ST, SAN MARCOS, TX 78666-4411
(512) 396-1200
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101761
—
TX
Enumeration date
05/22/2007
Last updated
04/14/2024
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