Organization
GO-GO KIDS REHAB,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALDEMAR GARCIA (OWNER/PRESIDENT)
(956) 566-0722
Entity
Organization
Contact information
Practice address
101 PREMIERE LN, EDINBURG, TX 78542-1932
(956) 566-0722
(956) 720-0882
Mailing address
912 E NOLANA LOOP STE H-I, PHARR, TX 78577-5838
(956) 566-9722
(956) 720-0882
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
671930000
TX
225X00000X
Occupational Therapist
Primary
564270000
TX
Other
Enumeration date
02/04/2012
Last updated
02/04/2012
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