Organization
JDM DIRECT INTERVENTION PLLC
Active
Other names
FUNTASTIC THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNA MENDOZA SLP (OWNER)
(956) 718-2020
Entity
Organization
Contact information
Practice address
1501 E BUSTAMANTE ST, STE. G, LAREDO, TX 78041-8905
(956) 718-2020
(956) 718-2919
Mailing address
10809 MARFA RD, LAREDO, TX 78045-8686
(956) 718-2020
(956) 718-2919
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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