Provider Demographics
NPI:1841840642
Name:ROCKING HORSE REHAB, LLC
Entity type:Organization
Organization Name:ROCKING HORSE REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:ARISMENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-802-1598
Mailing Address - Street 1:1715 EXPRESSWAY 83 STE B
Mailing Address - Street 2:
Mailing Address - City:PENITAS
Mailing Address - State:TX
Mailing Address - Zip Code:78576-8335
Mailing Address - Country:US
Mailing Address - Phone:956-580-9911
Mailing Address - Fax:956-580-8291
Practice Address - Street 1:2116 W. GRIFFIN PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-9733
Practice Address - Country:US
Practice Address - Phone:956-580-9911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Multi-Specialty