Organization
MIND OVER MATTER PEDIATRIC THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA LEE WEST (OWNER)
(956) 750-3585
Entity
Organization
Contact information
Practice address
509 N US HIGHWAY 83 # 103, ZAPATA, TX 78076-4132
(956) 750-3585
(956) 253-4882
Mailing address
109 E 27TH ST, ZAPATA, TX 78076-4500
(956) 750-3585
(956) 253-4882
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
06/20/2022
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