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Kidz Rehab Center, INC.

Clinic/Center, Rehabilitation in Kingsville, TX. Organization (NPI-2).

NPI number1760596993
StatusActive
Last updated in NPPESAug 28, 2020

Details

NPI
1760596993
Entity type
Organization (NPI-2)
Legal business name
Kidz Rehab Center, INC.
Organization subpart
No
Enumeration date
Aug 17, 2006
Certification date
Aug 28, 2020
Last updated
Aug 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0400X Clinic/Center, Rehabilitation––Yes

Practice location

1724 S Brahma Blvd Ste 105
Kingsville, TX 78363-6793

Phone 361-592-0041 · Fax 361-592-0043

Mailing address

405 Highland Ave
Alice, TX 78332-3925

Phone 361-668-8466 · Fax 361-668-4159

Authorized official

Larissa Michelle Garcia-Hawkins
President
3616688466

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