Unique Pediatic Rehab Center Llc

NPI 1568800316 - Occupational Therapist - 225X00000X

NPI Details
NPI 1568800316
Enumeration Date 06/13/2013
Last Updated 06/13/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name AUDREY AUDREY
Position CREDENTIALING SPECIALIST
Phone (195) 658-3877
Fax (195) 658-3877
Practice Location
518 TOM GILL RD
SUITE A
PENITAS TX, 78576-2255, US
Phone (195) 658-3877
Fax (195) 658-3877
Business Location
518 TOM GILL RD
SUITE A
PENITAS TX, 78576-2255, US
Phone (195) 658-3877
Fax (195) 658-3877
Toxanomy
Taxonomy Code 225X00000X
License State Texas
License Number 113800
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According to our database, Unique Pediatic Rehab Center Llc NPI is 1568800316, taxonomy code is 225X00000X and license number is 113800, license state is located at Texas. Unique Pediatic Rehab Center Llc physically located at 518 Tom Gill Rd, Penitas TX, 78576-2255. NPI Number 1033115704 has the healthcare provider type.

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1568800316 NPI number is provided on an as is basis without warranty of any kind. 1568800316 is maintained by the National Plan & Provider Enumeration System. The contents of Unique Pediatic Rehab Center Llc are for informational purposes only.