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Organization

EDINBURG PROFESSIONAL REHABILITATION CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARCOS MORAN (DIRECTOR OF OPERATIONS)
(956) 784-9874
Entity
Organization

Contact information

Practice address
5113 S JACKSON RD, EDINBURG, TX 78539-3184
(956) 683-8000
(956) 683-8673
Mailing address
5113 S JACKSON RD, EDINBURG, TX 78539-3184
(956) 683-8000
(956) 683-8673

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
Primary
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/14/2011
Last updated
09/14/2011
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