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General NPI Number Information
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NPI Number | 1912939414
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Entity Type | Organization
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Legal Business Name | LIBERTY REHABILITATION SPECIALISTS INC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 2130 NE LOOP 410 STE 212
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City | SAN ANTONIO
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State | TX
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Zip | 78217-4662
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Country | US
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Telephone | 210-656-5848
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Fax | 210-656-5847
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Provider Business Mailing Address
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Address Line | 2130 NE LOOP 410 STE 212
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City | SAN ANTONIO
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State | TX
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Zip | 78217-4662
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Country | US
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Telephone | 210-656-5848
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Fax | 210-656-5847
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CARMEN NOEMI CASTILLO
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Credential |
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Telephone | 210-798-1040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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