Provider Demographics
NPI:1780083147
Name:SERRATO, GRECIA I (PTA)
Entity type:Individual
Prefix:
First Name:GRECIA
Middle Name:I
Last Name:SERRATO
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:GRECIA
Other - Middle Name:
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:1201 N. JACKSON RD. STE. 900
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501
Mailing Address - Country:US
Mailing Address - Phone:956-661-0475
Mailing Address - Fax:956-621-7518
Practice Address - Street 1:1201 N. JACKSON RD. STE. 900
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501
Practice Address - Country:US
Practice Address - Phone:956-661-0475
Practice Address - Fax:956-621-7518
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2103459225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant