| Organization Name: | XANADU REHABILITATION, INC. |
| NPI Number: | 1124357801 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY M RANGE (CO-DIRECTOR) |
| Mailing Address: | 181 Cimarron Park Loop Ste D Buda |
| State: | TX US |
| Postal Code: | 786102854 |
| Phone Number: | 5122952273 |
| Fax Number: | 5122952280 |
| NPI Enumeration Date: | 12/09/2009 |
| NPI Last Update Date: | 12/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 24694 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |