Provider Demographics
NPI:1134400047
Name:A PLUS KIDS THERAPY, LLC
Entity type:Organization
Organization Name:A PLUS KIDS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-744-8873
Mailing Address - Street 1:6540 GRANDE BAY
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041
Mailing Address - Country:US
Mailing Address - Phone:956-377-2929
Mailing Address - Fax:956-377-2762
Practice Address - Street 1:9505 FM 1472
Practice Address - Street 2:206
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-8840
Practice Address - Country:US
Practice Address - Phone:956-377-2929
Practice Address - Fax:956-377-2762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation