Provider Demographics
NPI:1336275445
Name:CENTER FOR ADVANCED REHABILITATION & EDUCATION
Entity Type:Organization
Organization Name:CENTER FOR ADVANCED REHABILITATION & EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:GLORIA
Authorized Official - Last Name:LIOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:936-483-6149
Mailing Address - Street 1:38 S HAWTHORNE HOLLOW CIR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4751
Mailing Address - Country:US
Mailing Address - Phone:936-483-6149
Mailing Address - Fax:
Practice Address - Street 1:38 S HAWTHORNE HOLLOW CIR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-4751
Practice Address - Country:US
Practice Address - Phone:936-483-6149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111469225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty