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Organization
VICTORY REHAB LLC
Active
Organization
VICTORY REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA IZAGUIRRE (OWNER/CREDENTIALING)
(956) 618-2419
Entity
Organization
Contact information
Practice address
1103 ACACIA AVE, ALAMO, TX 78516
(956) 618-2419
(956) 618-2114
Mailing address
PO BOX 74, SAN JUAN, TX 78589-0074
(956) 618-2444
(956) 618-2114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
673030000
TX
225X00000X
Occupational Therapist
564960000
TX
Other
Enumeration date
07/17/2012
Last updated
03/06/2018
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