Provider Demographics
NPI:1033691985
Name:OVERCOMERS REHABILITATION SERVICES, LLC
Entity Type:Organization
Organization Name:OVERCOMERS REHABILITATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSIE
Authorized Official - Middle Name:ISELA
Authorized Official - Last Name:VALLEJO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:956-624-6468
Mailing Address - Street 1:201 N MCCOLL RD STE B
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-9382
Mailing Address - Country:US
Mailing Address - Phone:956-328-5424
Mailing Address - Fax:844-272-6959
Practice Address - Street 1:201 N MCCOLL RD STE B
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-9382
Practice Address - Country:US
Practice Address - Phone:956-328-5424
Practice Address - Fax:844-272-6959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3796575Medicaid