Organization
ERIK M HAGER
Active
Other names
the kids spot pediatric rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA VILLAREAL (OFFICE ADMINISTRATOR)
(956) 412-6060
Entity
Organization
Contact information
Practice address
3675 BOCA CHICA BLVD STE B, BROWNSVILLE, TX 78521-4484
(956) 546-7800
(956) 546-7803
Mailing address
512 VICTORIA LN STE 13, HARLINGEN, TX 78550-3228
(956) 412-6060
(956) 412-6070
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
658290002
TX
225XP0200X
Pediatric Occupational Therapist
Primary
554150002
TX
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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