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Organization
THE KIDS SPOT PEDIATRIC REHAB
Active
Organization
THE KIDS SPOT PEDIATRIC REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALMA LETICIA VILLAREAL (OFFICE ADMIN)
(956) 412-6060
Entity
Organization
Contact information
Practice address
3675 BOCA CHICA BLVD, SUITE B, BROWNSVILLE, TX 78521-4483
(956) 546-7800
(956) 546-7803
Mailing address
512 VICTORIA LN, SUITE 13, HARLINGEN, TX 78550-3226
(956) 412-6060
(956) 412-6070
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
33024
TX
2355S0801X
Speech-Language Assistant
33228
TX
2355S0801X
Speech-Language Assistant
33478
TX
2355S0801X
Speech-Language Assistant
33536
TX
2355S0801X
Speech-Language Assistant
34296
TX
2355S0801X
Speech-Language Assistant
34688
TX
2355S0801X
Speech-Language Assistant
35147
TX
2355S0801X
Speech-Language Assistant
35290
TX
235Z00000X
Speech-Language Pathologist
102304
TX
235Z00000X
Speech-Language Pathologist
Primary
102914
TX
235Z00000X
Speech-Language Pathologist
103021
TX
235Z00000X
Speech-Language Pathologist
103454
TX
235Z00000X
Speech-Language Pathologist
17791
TX
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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