Organization
WIGGLY KIDLETS
Active
Other names
New York Pediatric Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAFFNEY VEALS OBARE SLPA (ASSISTANT DIRECTOR)
(956) 371-0817
Entity
Organization
Contact information
Practice address
601 TRENTON RD, STE D169, MCALLEN, TX 78504-2107
(956) 371-0817
Mailing address
601 TRENTON RD, STE D169, MCALLEN, TX 78504-2107
(956) 371-0817
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
33708
TX
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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