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Organization

WIGGLY KIDLETS

Active
Other names
New York Pediatric Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES OBARE (TEACHER)
(956) 292-9106
Entity
Organization

Contact information

Practice address
3145 CENTER POINT DR, EDINBURG, TX 78539-8433
(956) 292-9106
Mailing address
7106 CHESTNUT OAK LN, BROWNSVILLE, TX 78526-3063
(956) 292-9106

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Enumeration date
06/19/2012
Last updated
07/03/2012
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