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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