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Organization
COSTA THERAPY INSTITUTE, LLC
Active
Organization
COSTA THERAPY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA SELVERA (OWNER/PRESIDENT)
(956) 465-7756
Entity
Organization
Contact information
Practice address
2740 W ALTON GLOOR BLVD STE A, BROWNSVILLE, TX 78520-4476
(956) 982-8578
(956) 982-8741
Mailing address
7308 DOMINICA DR, BROWNSVILLE, TX 78520-4036
(956) 982-8741
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
06/29/2015
Last updated
10/23/2023
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