Tricare Rehabilitation Services, Inc.

NPI #1164612248 in Gallatin, Tennessee

Provider Information

NPI Number: 1164612248
Entity Type: Organization
Organization Name: Tricare Rehabilitation Services, Inc.
Primary Specialty: Clinic/Center - Rehabilitation
Enumeration Date: Jul 26, 2007
Last Updated: Nov 13, 2009

Practice Location

Address: 258 E MAIN ST
City: Gallatin
State: Tennessee
ZIP Code: 37066-2961
Phone: (615) 452-9686

Authorized Official

Name: MR. BABLOO CHACKO
Title: ADMINISTRATOR
Phone: (615) 452-9686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X	Primary

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