Organization
COMPLEX REHAB TECHNOLOGIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY ANN RUSSELL (SENIOR DIRECTOR OF PAYOR RELATIONS)
(629) 252-8211
Entity
Organization
Contact information
Practice address
7070B EMPIRE CENTRAL DR, HOUSTON, TX 77040-3214
(818) 196-8312
(346) 767-6022
Mailing address
9495 WINNETKA AVE N STE 200, BROOKLYN PARK, MN 55445-1618
(629) 282-8211
(763) 255-3972
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
TX
Other
Enumeration date
08/14/2014
Last updated
12/16/2024
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