Organization
CHERYL E. WANEK
Active
Organization
CHERYL E. WANEK
Active
Other names
KIDS IN MOTION
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL E. WANEK L.P.T. (OWNER)
(956) 630-6112
Entity
Organization
Contact information
Practice address
5211 N MCCOLL RD, MCALLEN, TX 78504-2202
(956) 630-6112
(956) 683-9504
Mailing address
5211 N MCCOLL, MCALLEN, TX 78504-2202
(956) 630-6112
(956) 683-9504
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1051456
TX
235Z00000X
Speech-Language Pathologist
103428
TX
235Z00000X
Speech-Language Pathologist
18609
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042ES
BCBS
TX
05
—
0626582-01
—
TX
Enumeration date
05/11/2006
Last updated
07/17/2008
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