Provider Demographics
NPI:1194393520
Name:ACCESS REHAB AND WELLNESS CENTER
Entity Type:Organization
Organization Name:ACCESS REHAB AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GEN PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JUNIPER
Authorized Official - Middle Name:
Authorized Official - Last Name:DOCDOCIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-669-1836
Mailing Address - Street 1:11110 BELLAIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2600
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11110 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2600
Practice Address - Country:US
Practice Address - Phone:949-669-1836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-13
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty