# SAFARI KIDS REHABILITATION CENTER,LLC

> 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
- **Other names:** Safari Kids Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154567568
- **Authorized official:** MRS. ESMERALDA E. GONZALEZ M.A., CCC-SLP (CO-OWNER,SPEECH LANGUAGE PATHOLOGIS)
- **Authorized official phone:** (956) 568-4675

## Contact information

- **Practice address:** 2108 CHIHUAHUA ST, SUITE\# 3, LAREDO, TX 78043-3658
- **Practice address phone:** (956) 568-4675
- **Practice address fax:** (956) 568-4671
- **Mailing address:** 2108 CHIHUAHUA ST, SUITE\#2, LAREDO, TX 78043-3657
- **Mailing address phone:** (956) 568-4675
- **Mailing address fax:** (956) 568-4671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | 111552 | TX | — |
| 235Z00000X | Speech-Language Pathologist | 100691 | TX | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 676667 | TX | Yes |

## Other

- **Enumeration date:** 01/07/2009
- **Last updated:** 02/10/2014