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Organization
UNIQUE PEDIATIC REHAB CENTER LLC
Active
Organization
UNIQUE PEDIATIC REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY ROJAS CPMB (CREDENTIALING SPECIALIST)
(956) 838-9791
Entity
Organization
Contact information
Practice address
7602 W INTERSTATE HIGHWAY 2 STE B, MISSION, TX 78572-9722
(956) 583-8772
(956) 583-8774
Mailing address
PO BOX 796, PENITAS, TX 78576-0796
(956) 583-8772
(956) 583-8774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
113800
TX
235Z00000X
Speech-Language Pathologist
Primary
101001
TX
235Z00000X
Speech-Language Pathologist
101572
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075962-07
—
TX
05
—
3126898-01
—
TX
05
—
356990701
—
TX
Enumeration date
06/13/2013
Last updated
04/19/2018
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