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Organization
TIP OF THE TONGUE REHABILITATION SERVICES LLC
Active
Organization
TIP OF THE TONGUE REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE DE LEON (CFO)
(956) 688-0875
Entity
Organization
Contact information
Practice address
9501 STATE HIGHWAY 107, STE 3, MISSION, TX 78573-1225
(956) 688-0875
Mailing address
9501 STATE HIGHWAY 107, STE 3, MISSION, TX 78573-1225
(956) 688-0875
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/27/2011
Last updated
06/22/2011
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