Provider Demographics
NPI:1538493812
Name:KIDZ AT PLAY REHABILITATION SERVICES LLC
Entity Type:Organization
Organization Name:KIDZ AT PLAY REHABILITATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BERTHA
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-668-0300
Mailing Address - Street 1:1701 W DOVE AVE
Mailing Address - Street 2:STE D
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3955
Mailing Address - Country:US
Mailing Address - Phone:956-668-0300
Mailing Address - Fax:956-668-0303
Practice Address - Street 1:1701 W DOVE AVE
Practice Address - Street 2:STE D
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3955
Practice Address - Country:US
Practice Address - Phone:956-668-0300
Practice Address - Fax:956-668-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-20
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation