| Organization Name: | THERA-CARE REHAB SERVICES, PLLC |
| NPI Number: | 1578591178 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNIE MARIE CASTILLO ESGUERRA (CFO) |
| Mailing Address: | 1337 E Palma Vista Dr Suite C Palmview |
| State: | TX US |
| Postal Code: | 785722055 |
| Phone Number: | 9565199442 |
| Fax Number: | 9565199456 |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 12/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |