Organization
BIG HEART INTERNATIONAL TRADING LLC
Active
Other names
Rehabmates
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN MOSQUEDA PT (OWNER)
(252) 276-2194
Entity
Organization
Contact information
Practice address
312 ACADEMY ST S # G, AHOSKIE, NC 27910-3200
(252) 578-9078
Mailing address
108 STEEPLECHASE RUN, ROANOKE RAPIDS, NC 27870-3239
(252) 578-9078
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982279436
—
NC
Enumeration date
05/26/2021
Last updated
12/04/2021
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