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Organization
RGV NUECES REHABILITATION INC.
Active
Organization
RGV NUECES REHABILITATION INC.
Active
Other names
INNOVATIVE PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA ENER (ADMINISTRATOR)
(361) 986-0708
Entity
Organization
Contact information
Practice address
1605 DEL MAR BLVD, SUITE 14, LAREDO, TX 78041
(361) 986-0708
(361) 986-0751
Mailing address
1605 DEL MAR BLVD, SUITE 14, LAREDO, TX 78041
(361) 986-0708
(361) 986-0751
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
1164580
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164580
STATE PT LICENSE
TX
Enumeration date
12/01/2006
Last updated
08/22/2020
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