Provider Demographics
NPI:1033362702
Name:TRI REHAB CENTER INC.
Entity Type:Organization
Organization Name:TRI REHAB CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-691-4140
Mailing Address - Street 1:19119 CAMELLIA CIRCLE
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-5275
Mailing Address - Country:US
Mailing Address - Phone:361-548-7830
Mailing Address - Fax:281-360-4521
Practice Address - Street 1:19119 CAMELLIA CIRCLE
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-5275
Practice Address - Country:US
Practice Address - Phone:361-548-7830
Practice Address - Fax:281-360-4521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty