Organization · Type 2 NPI

Providence Rehabilitation Services, LLC

Pediatric Physical Therapist · Mission, TX

NPI number 1811087166 Active

Practice location

1609 E Griffin Pkwy, Suite B
Mission, TX 78572-3101

Fax (956) 424-1090

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XNone listed
Physical Therapy Clinic/Center 261QP2000X657030000 (TX)
Rehabilitation Clinic/Center 261QR0400X657030000 (TX)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1811087166

Providence Rehabilitation Services, LLC's National Provider Identifier is 1811087166, issued on Oct 14, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Mission, TX. The record was last updated on Aug 2, 2007.