Custom Rehab of South Texas, Inc.

NPI #1700930633 in Needville, Texas

Provider Information

NPI Number: 1700930633
Entity Type: Organization
Organization Name: Custom Rehab of South Texas, Inc.
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Jan 22, 2007
Last Updated: Jul 7, 2011

Practice Location

Address: 12907 HIGHWAY 36
City: Needville
State: Texas
ZIP Code: 77461
Phone: (979) 793-7570

Authorized Official

Name: MRS. LORENA MATTHIESEN
Title: PRESIDENT
Phone: (979) 793-7570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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