Mind Over Matter Pediatric Therapy Center, LLC
Physical Medicine & Rehabilitation in Zapata, TX. Organization (NPI-2).
NPI number1962097337
StatusActive
Last updated in NPPESJun 20, 2022
Details
- NPI
- 1962097337
- Entity type
- Organization (NPI-2)
- Legal business name
- Mind Over Matter Pediatric Therapy Center, LLC
- Organization subpart
- No
- Enumeration date
- Mar 7, 2021
- Certification date
- Jun 20, 2022
- Last updated
- Jun 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
| 2081P0010X | Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine | – | – | |
| 224Z00000X | Occupational Therapy Assistant | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225200000X | Physical Therapy Assistant | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 261QR0400X | Clinic/Center, Rehabilitation | – | – |
Practice location
509 N Us Highway 83 # 103Zapata, TX 78076-4132
Phone 956-750-3585 · Fax 956-253-4882
Mailing address
109 E 27th StZapata, TX 78076-4500
Phone 956-500-0728 · Fax 956-253-4882
Authorized official
Monica Lee West
Owner
9565000728
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