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Organization

BRADWELL DIVERSIFIED

Active
Other names
Kids Club Pediatric Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GRACIELA A BRADWELL SLP ASSISTANT (ADMINISTRATOR)
(956) 792-4542
Entity
Organization

Contact information

Practice address
27043 BAKER POTTS RD, HARLINGEN, TX 78552-3761
(956) 792-4542
Mailing address
27043 BAKER POTTS RD, HARLINGEN, TX 78552-3761
(956) 792-4542

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
05/20/2013
Last updated
07/16/2013
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