| Organization Name: | SEALY PHYSICAL REHAB, LLC |
| NPI Number: | 1164726592 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES EVERETT BECHTEL (DIRECTOR) |
| Mailing Address: | 511 6th St Sealy |
| State: | TX US |
| Postal Code: | 774742629 |
| Phone Number: | 9798770871 |
| Fax Number: | 9798770582 |
| NPI Enumeration Date: | 12/28/2010 |
| NPI Last Update Date: | 12/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 1993409 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |