# BOUNCE BACK THERAPY PLLC

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

## Provider details

- **NPI number:** 1801141551
- **Authorized official:** GLORIA GONZALEZ (CREDENTIALING)
- **Authorized official phone:** (956) 487-8100

## Contact information

- **Practice address:** 4857 E HIGHWAY 83, ROMA, TX 78584-6296
- **Practice address phone:** (956) 263-1646
- **Mailing address:** 506 E 2ND ST, RIO GRANDE CITY, TX 78582-3810
- **Mailing address phone:** (956) 487-8100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2012
- **Last updated:** 06/09/2015