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Organization
SPECIALIZED REHABILITATION LLC
Active
Organization
SPECIALIZED REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO B VARGAS MPT, MBA (PRESIDENT)
(956) 722-0200
Entity
Organization
Contact information
Practice address
4151 JAIME ZAPATA MEMORIAL HWY., SUITE 208, LAREDO, TX 78043-4782
(956) 722-0200
(956) 722-0611
Mailing address
PO BOX 451261, LAREDO, TX 78045-0031
(956) 722-0200
(956) 722-0611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119580204
—
TX
05
—
184376501
—
TX
Enumeration date
08/05/2007
Last updated
04/13/2012
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