Organization
MIND OVER MATTER PEDIATRIC THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA LEE WEST COTA (OWNER)
(956) 500-0728
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) 500-0728
(956) 253-4882
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/07/2021
Last updated
06/20/2022
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