Organization
RGV NUECES REHABILITATION INC.
Active
Other names
INNOVATIVE PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA ENER (ADMINISTRATOR)
(361) 986-0708
Entity
Organization
Contact information
Practice address
1605 DEL MAR BLVD, SUITE 14, LAREDO, TX 78041
(361) 986-0708
(361) 986-0751
Mailing address
1605 DEL MAR BLVD, SUITE 14, LAREDO, TX 78041
(361) 986-0708
(361) 986-0751
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
1164580
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164580
STATE PT LICENSE
TX
Enumeration date
12/01/2006
Last updated
08/22/2020
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