Organization
FIRST COLONY REHAB, LLC
Active
Other names
Tideway Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL GILL PT (OWNER)
(817) 929-1420
Entity
Organization
Contact information
Practice address
6444 CENTRAL CITY BLVD, GALVESTON, TX 77551-2058
(409) 741-8472
(409) 741-2342
Mailing address
PO BOX 3106, GALVESTON, TX 77552-0106
(409) 741-8472
(409) 741-2342
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2006
Last updated
09/10/2021
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