Organization
CUSTOM CARE TEAM, INC.
Active
Other names
Med Team Therapy, Med Team Therap
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA VALENTINE HARVEY BSN RN (DIRECTOR OF PROGRAM AND POLICY DEVE)
(210) 227-9000
Entity
Organization
Contact information
Practice address
1902 CAMPUS COMONS DRIVE, SUITE 650, RESTON, VA 20191-1589
(703) 390-2300
(703) 390-5819
Mailing address
45 NE LOOP 410 STE 800, SAN ANTONIO, TX 78216-5837
(210) 227-9000
(210) 227-2020
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
06/16/2018
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