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Organization
MIND OVER MATTER PEDIATRIC THERAPY CENTER, LLC
Active
Organization
MIND OVER MATTER PEDIATRIC THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA LEE WEST (OWNER)
(956) 750-3585
Entity
Organization
Contact information
Practice address
509 N US HIGHWAY 83 # 103, ZAPATA, TX 78076-4132
(956) 750-3585
(956) 253-4882
Mailing address
109 E 27TH ST, ZAPATA, TX 78076-4500
(956) 750-3585
(956) 253-4882
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
06/20/2022
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