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Organization
JDM DIRECT INTERVENTION PLLC
Active
Organization
JDM DIRECT INTERVENTION PLLC
Active
Other names
FUNTASTIC THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNA MENDOZA SLP (OWNER)
(956) 718-2020
Entity
Organization
Contact information
Practice address
1501 E BUSTAMANTE ST, STE. G, LAREDO, TX 78041-8905
(956) 718-2020
(956) 718-2919
Mailing address
10809 MARFA RD, LAREDO, TX 78045-8686
(956) 718-2020
(956) 718-2919
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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