Provider Demographics
NPI:1154674075
Name:ARY REHAB LLC
Entity Type:Organization
Organization Name:ARY REHAB LLC
Other - Org Name:TIC TALK THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONSULTANT/BILLER
Authorized Official - Prefix:
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:E
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-583-8255
Mailing Address - Street 1:2614 E GRIFFIN PKWY
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3321
Mailing Address - Country:US
Mailing Address - Phone:956-656-7500
Mailing Address - Fax:956-686-7896
Practice Address - Street 1:2001 W MILE 3 RD
Practice Address - Street 2:STE 2400
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573
Practice Address - Country:US
Practice Address - Phone:956-583-8255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty