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Organization

TACTICAL REHABILITATION INC

Active
Parent organization
TACTICAL REHABILITATION INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
TACTICAL REHABILITATION INC
Authorized official
KAREN C LYONS (CFO)
(423) 262-9720
Entity
Organization

Contact information

Practice address
231 POTOMAC AVE, QUANTICO, VA 22134-3458
(910) 210-0790
(910) 210-0791
Mailing address
PO BOX 1306, JACKSONVILLE, NC 28541-1306
(423) 262-9720

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
335E00000X
Prosthetic/Orthotic Supplier

Other

Enumeration date
03/09/2020
Last updated
03/15/2026
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