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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 (CHIEF FINANCIAL OFFICER)
(423) 262-9720
Entity
Organization

Contact information

Practice address
1891 HWY 40 E STE 1108, KINGSLAND, GA 31548-6573
(904) 420-7365
Mailing address
2040 WILMINGTON HWY STE A, JACKSONVILLE, NC 28540-3191
(423) 262-9720

Taxonomy

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

Other

Enumeration date
10/20/2020
Last updated
03/15/2026
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