Organization
GENESIS THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DICKSON RODRIGUEZ OTR, MA (OCCUPATIONAL THERAPIST/CEO)
(956) 627-0108
Entity
Organization
Contact information
Practice address
4325 N 23RD ST, STE A, MCALLEN, TX 78504-4166
(956) 627-0108
(956) 627-0110
Mailing address
4325 N 23RD ST, STE A, MCALLEN, TX 78504-4166
(956) 627-0108
(956) 627-0110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143939003
—
TX
05
—
219990301
—
TX
Enumeration date
09/21/2011
Last updated
11/03/2011
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