# MIND OVER MATTER PEDIATRIC THERAPY CENTER, LLC

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

## Provider details

- **NPI number:** 1962097337
- **Authorized official:** MS. MONICA LEE WEST COTA (OWNER)
- **Authorized official phone:** (956) 500-0728

## Contact information

- **Practice address:** 509 N US HIGHWAY 83 \# 103, ZAPATA, TX 78076-4132
- **Practice address phone:** (956) 750-3585
- **Practice address fax:** (956) 253-4882
- **Mailing address:** 109 E 27TH ST, ZAPATA, TX 78076-4500
- **Mailing address phone:** (956) 500-0728
- **Mailing address fax:** (956) 253-4882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 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
