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Organization
DREAM THERAPY CENTER
Active
Organization
DREAM THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH MODESTO (ADMINISTRATOR)
(956) 572-1908
Entity
Organization
Contact information
Practice address
524 E LOS EBANOS BLVD STE B, BROWNSVILLE, TX 78520
(956) 572-1908
(888) 388-8379
Mailing address
3402 BRASILIA, BROWNSVILLE, TX 78526-1229
(956) 572-1908
(888) 388-8379
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
112112
TX
235Z00000X
Speech-Language Pathologist
Primary
104389
TX
261QP2000X
Physical Therapy Clinic/Center
1158203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205432203
—
TX
05
—
206658104
—
TX
05
—
340582101
—
TX
Enumeration date
10/30/2015
Last updated
07/16/2018
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