Provider Demographics
NPI:1013383967
Name:FUSION THERAPY LLC
Entity Type:Organization
Organization Name:FUSION THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OTR
Authorized Official - Prefix:
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:
Authorized Official - Last Name:PECINA
Authorized Official - Suffix:JR
Authorized Official - Credentials:OT
Authorized Official - Phone:956-650-5487
Mailing Address - Street 1:2717 FAIRMONT AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6498
Mailing Address - Country:US
Mailing Address - Phone:956-650-5487
Mailing Address - Fax:956-587-0245
Practice Address - Street 1:2717 FAIRMONT AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6498
Practice Address - Country:US
Practice Address - Phone:956-650-5487
Practice Address - Fax:956-587-0245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113455225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty