Organization
KIDS ON Q THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONNI ROCHELLE GARCIA-LICKERT (PRESIDENT)
(210) 381-8727
Entity
Organization
Contact information
Practice address
755 LOOP 337 STE C, NEW BRAUNFELS, TX 78130-3642
(830) 624-7337
Mailing address
3032 SADDLEHORN DR, SEGUIN, TX 78155-0173
(210) 381-8727
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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