Organization
TOTAL BODY REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSA ARAMBULA-FALLAD OT (OWNER)
(956) 568-2105
Entity
Organization
Contact information
Practice address
1520 E SAN PEDRO ST, STE 102, LAREDO, TX 78041-5479
(956) 568-2105
(956) 568-1488
Mailing address
1520 E SAN PEDRO ST, STE 102, LAREDO, TX 78041-5429
(956) 568-2105
(956) 568-1488
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
101443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1574428
MEDICAID
TX
01
—
86TT15
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/23/2014
Last updated
02/03/2015
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