Organization Name: | INNOVATIVE REHABILITATION,LLC |
NPI Number: | 1588978613 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY BETH CROW (OWNER/SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 440 Highway 59 Loop S Ste 104 Livingston |
State: | TX US |
Postal Code: | 773519011 |
Phone Number: | 9363288148 |
Fax Number: | 9363272491 |
NPI Enumeration Date: | 07/30/2010 |
NPI Last Update Date: | 06/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 24933 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |