Organization
BACK TO ACTION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA JEAN CROUCH (ADMINISTRATOR)
(956) 428-2512
Entity
Organization
Contact information
Practice address
795 PAREDES LINE RD, SUITE B, BROWNSVILLE, TX 78521-3095
(956) 621-0397
(956) 621-0415
Mailing address
PO BOX 532127, HARLINGEN, TX 78553-2127
(956) 428-8951
(956) 428-0232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/10/2012
Last updated
09/12/2012
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