# THERAPY LANE PEDIATRIC REHABILITATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003130667
- **Authorized official:** ELIZABETH DENISE CLOSNER M.S., CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (956) 729-7555

## Contact information

- **Practice address:** 2110 LOMAS DEL SUR, STE. 114, LAREDO, TX 78046-5750
- **Practice address phone:** (956) 729-7555
- **Practice address fax:** (956) 729-7886
- **Mailing address:** 2110 LOMAS DEL SUR, STE. 114, LAREDO, TX 78046-5750
- **Mailing address phone:** (956) 729-7555
- **Mailing address fax:** (956) 729-7886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 102934 | TX | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | 103450 | TX | — |

## Other

- **Enumeration date:** 03/24/2010
- **Last updated:** 03/09/2016