Organization
FUNCTIONAL GAINZ THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO CASTELLANO OT (OWNER)
(956) 984-9225
Entity
Organization
Contact information
Practice address
2708 BAYLOR AVE, MCALLEN, TX 78504-5538
(956) 984-9225
Mailing address
2708 BAYLOR AVE, MCALLEN, TX 78504-5538
(956) 984-9225
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303808502
—
TX
Enumeration date
05/11/2016
Last updated
05/11/2016
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