Provider Demographics
NPI:1093166092
Name:ROCKING HORSE REHAB, LLC
Entity Type:Organization
Organization Name:ROCKING HORSE REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:ARISMENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-802-1598
Mailing Address - Street 1:1715 EXPRESSWAY 83 STE B
Mailing Address - Street 2:
Mailing Address - City:PENITAS
Mailing Address - State:TX
Mailing Address - Zip Code:78576-8335
Mailing Address - Country:US
Mailing Address - Phone:956-580-9911
Mailing Address - Fax:956-580-8291
Practice Address - Street 1:2885 E GRANT ST STE B-3
Practice Address - Street 2:
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584-8914
Practice Address - Country:US
Practice Address - Phone:956-317-1080
Practice Address - Fax:956-317-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-30
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX562660001225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty