Organization
CHILDREN'S REHABILITATION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELEN F KELLER O.T.R. (OWNER)
(956) 351-5422
Entity
Organization
Contact information
Practice address
1620 E 8TH ST STE 3, WESLACO, TX 78596-5883
(956) 351-5422
(956) 351-5420
Mailing address
1620 E 8TH ST, SUITE 3, WESLACO, TX 78596-5882
(956) 351-5422
(956) 351-5420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181125902
—
TX
05
—
181125903
—
TX
05
—
216413902
—
TX
05
—
282400504
—
TX
Enumeration date
07/19/2007
Last updated
05/05/2016
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