| NPI | 1811087166 |
|---|---|
| Other Name | PROVIDENCE REHABILITATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | RUBY BOCANEGRA President 956-424-1089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 657030000) |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 657030000) | |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2007-08-02 |