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Organization
MAGICAL KIDS THERAPY, PLLC
Active
Organization
MAGICAL KIDS THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN E. PEREZ (ADMINISTRATOR)
(956) 753-6355
Entity
Organization
Contact information
Practice address
3507 LOOP 20 STE 1, LAREDO, TX 78043-4743
(956) 753-6355
Mailing address
3507 LOOP 20 STE 1, LAREDO, TX 78043-4743
(956) 753-6355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100590
TX
235Z00000X
Speech-Language Pathologist
101359
TX
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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