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Organization
HERALD REHABILITATION, LLC
Active
Organization
HERALD REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERMEL BEJOSANO VIDENA PT (MANAGING MEMBER)
(469) 358-5166
Entity
Organization
Contact information
Practice address
621 W PLANO PKWY, SUITE 241, PLANO, TX 75075-8966
(972) 424-6423
(972) 424-6519
Mailing address
4329 BENTON ELM DR, PLANO, TX 75024-7279
(972) 424-6423
(972) 424-6519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1074169
TX
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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