| Organization Name: | NORTH EAST REHAB WOODLANDS |
| NPI Number: | 1366565566 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA ANN SHIRAH (CREDENTIALING SUPERVISOR) |
| Mailing Address: | 25003 Pitkin Rd Suite E-100 The Woodlands |
| State: | TX US |
| Postal Code: | 773862610 |
| Phone Number: | 2816461935 |
| Fax Number: | 2816460927 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 11/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1166438 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |