Provider Demographics
NPI:1437191053
Name:HOPE REHAB-DICKINSON LLC
Entity Type:Organization
Organization Name:HOPE REHAB-DICKINSON LLC
Other - Org Name:HOPE REHAB PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANDREW
Authorized Official - Suffix:
Authorized Official - Credentials:PT MS
Authorized Official - Phone:281-534-3300
Mailing Address - Street 1:2785 GULF FWY S
Mailing Address - Street 2:STE 125
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-6746
Mailing Address - Country:US
Mailing Address - Phone:281-534-3300
Mailing Address - Fax:281-534-3386
Practice Address - Street 1:3600 GULF FWY
Practice Address - Street 2:STE B
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-4123
Practice Address - Country:US
Practice Address - Phone:281-534-3300
Practice Address - Fax:281-534-3386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX658170000261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy