# GO-GO KIDS REHAB,LLC

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

## Provider details

- **NPI number:** 1104198217
- **Authorized official:** BALDEMAR GARCIA (OWNER/PRESIDENT)
- **Authorized official phone:** (956) 566-0722

## Contact information

- **Practice address:** 101 PREMIERE LN, EDINBURG, TX 78542-1932
- **Practice address phone:** (956) 566-0722
- **Practice address fax:** (956) 720-0882
- **Mailing address:** 912 E NOLANA LOOP STE H-I, PHARR, TX 78577-5838
- **Mailing address phone:** (956) 566-9722
- **Mailing address fax:** (956) 720-0882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 671930000 | TX | — |
| 225X00000X | Occupational Therapist | 564270000 | TX | Yes |

## Other

- **Enumeration date:** 02/04/2012
- **Last updated:** 02/04/2012