| Organization Name: | ROCKIN R REHAB INC |
| NPI Number: | 1619298072 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KELLY A SPARKS (ADMINISTRATOR) |
| Mailing Address: | 3209 S Alameda St Corpus Christi |
| State: | TX US |
| Postal Code: | 784042507 |
| Phone Number: | 3613345657 |
| Fax Number: | 3613345683 |
| NPI Enumeration Date: | 06/18/2010 |
| NPI Last Update Date: | 06/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 100362 |
| 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 |