Provider Demographics
NPI:1396010716
Name:SISTERS & BROTHERS THERAPY CENTER
Entity Type:Organization
Organization Name:SISTERS & BROTHERS THERAPY CENTER
Other - Org Name:SISTERS & BROTHERS THERAPY CENTER, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:L
Authorized Official - Last Name:VELOZ
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:956-580-2310
Mailing Address - Street 1:405 LOMA BLANCA ST
Mailing Address - Street 2:
Mailing Address - City:LA JOYA
Mailing Address - State:TX
Mailing Address - Zip Code:78560-9089
Mailing Address - Country:US
Mailing Address - Phone:956-580-2310
Mailing Address - Fax:956-580-2311
Practice Address - Street 1:100 W 2ND ST
Practice Address - Street 2:STE 5
Practice Address - City:LA JOYA
Practice Address - State:TX
Practice Address - Zip Code:78560-9089
Practice Address - Country:US
Practice Address - Phone:956-580-2310
Practice Address - Fax:956-580-2311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation