Organization
MEDREHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA KAY STANGO OTR/L, OTD, MOT, ATP (OWNER/CEO)
(512) 792-9501
Entity
Organization
Contact information
Practice address
2619 JONES RD STE C, AUSTIN, TX 78745-2682
(512) 792-9501
(512) 792-9534
Mailing address
2619 JONES RD STE C, AUSTIN, TX 78745-2682
(512) 792-9501
(512) 792-9534
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/29/2017
Last updated
09/27/2021
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