Organization
ALTON KIDS REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE LANIER MCDONALD LPT (CEO)
(956) 357-9196
Entity
Organization
Contact information
Practice address
3013 E MAIN AVE, SUITE E, ALTON, TX 78573-0931
(956) 581-7200
(956) 581-7201
Mailing address
3013 E MAIN AVE, SUITE E, ALTON, TX 78573-0931
(956) 581-7200
(956) 581-7201
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2010
Last updated
07/11/2011
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