Organization
ALL STAR PEDIATRIC REHAB
Active
Other names
All Star Pediatric Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIZETTH GARCIA (ADMINISTRATOR)
(956) 348-4284
Entity
Organization
Contact information
Practice address
815 S CLOSNER BLVD, EDINBURG, TX 78539-5655
(956) 348-4284
(956) 513-0683
Mailing address
3824 N GWIN RD, EDINBURG, TX 78542-1370
(956) 212-0324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101873
TDLR
TX
Enumeration date
03/22/2022
Last updated
12/03/2024
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