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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
MS. MONICA LEE WEST COTA (OWNER)
(956) 500-0728
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) 500-0728
(956) 253-4882
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
NULL
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
NULL
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
03/07/2021
Last updated
06/20/2022
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