Provider Demographics
NPI:1851969265
Name:MY LITTLE SUNSHINE THERAPY LLC
Entity Type:Organization
Organization Name:MY LITTLE SUNSHINE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:JOHANA
Authorized Official - Last Name:TANGUMA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:956-997-0022
Mailing Address - Street 1:78 ALA BLANCA ST
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-6628
Mailing Address - Country:US
Mailing Address - Phone:956-997-0022
Mailing Address - Fax:956-997-0065
Practice Address - Street 1:1909 W. 3 MILE RD STE 700
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573
Practice Address - Country:US
Practice Address - Phone:956-997-0022
Practice Address - Fax:956-997-0065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-12
Last Update Date:2021-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation