Organization
PEDERSON-MARTINEZ PLLC
Active
Other names
OPS Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE MARLON PEDERSON (PRESIDENT/PHYSICAL THERAPIST)
(956) 585-9889
Entity
Organization
Contact information
Practice address
123 W. MILE 3 RD, STE A-103, PALMHURST, TX 78573
(956) 585-9889
(956) 585-9896
Mailing address
123 W. MILE 3 RD, STE A-103, PALMHURST, TX 78573
(956) 585-9889
(956) 585-9896
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
07/02/2009
Last updated
08/09/2013
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