INNOVATIVE REHABILITATION,LLC
Speech Language Pathology at Highway 59 Loop, Livingston, TX

License number
Texas 111675
Category
Restorative Service Providers
Type
Occupational Therapist
License number
Texas 109182
Category
Restorative Service Providers
Type
Occupational Therapist
License number
Texas 107336
Category
Speech Language Pathology
Type
Speech-Language Pathologist
License number
Texas 15485
Category
Speech Language Pathology
Type
Speech-Language Pathologist
License number
Texas 24933
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Owner
Name: MRS. AMY BETH CROW SLP
Title: OWNER/SPEECH LANGUAGE PATHOLOGIST
Phone: (936) 328-8148
Address
Address
440 Highway 59 Loop S STE 104, Livingston, TX 77351
National Provider ID: 1588978613
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INNOVATIVE REHABILITATION, LLC

Livingston, TX

Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Registration:
Jul 7, 2010
Addresses:
440 Hwy 59 Loop S STE 104, Livingston, TX 77351 (Mailing)
1411 Mossycup Ln, Livingston, TX 77351
State ID:
0801290780
Business type:
Domestic Limited Liability Company (LLC)
Member, Owners:
Gregory E Crow (Member, Principal), 440 Hwy 59 Loop S STE 104, Livingston, TX 77351,Amy B Crow Member, Owner, inactive, 440 Hwy 59 Loop S STE 104, Livingston, TX 77351
Agent:
Amy Beth Crow,440 Us Hwy 59 Loop S SUITE 104, Livingston, TX 77351 (Physical)
TIN:
32042180896

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