# ALL STARS REHABILITATION SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770230211
- **Authorized official:** RENE BAZAN (OWNER/DIRECTOR)
- **Authorized official phone:** (956) 322-7305

## Contact information

- **Practice address:** 13500 E STATE HIGHWAY 107, EDINBURG, TX 78542-1876
- **Practice address phone:** (956) 322-7305
- **Mailing address:** 13500 E STATE HIGHWAY 107, EDINBURG, TX 78542-1876
- **Mailing address phone:** (956) 322-7305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 03/04/2022
- **Last updated:** 03/08/2022