MEDICARE: SOUTH TEXAS REHABILITATION & HAND THERAPY LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	107359	TX
2	2251X0800X	Orthopedic Physical Therapist	1026771	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073737805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH TEXAS REHABILITATION & HAND THERAPY LLP

Provider Business Mailing Address
First Line	:	1104B W SAM HOUSTON ST
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-5104
Country	:	US
Telephone Number	:	956-787-0962
Fax Number	:	956-787-1564

Provider Business Practice Location Address
First Line	:	1104B W SAM HOUSTON ST
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-5104
Country	:	US
Telephone Number	:	956-787-0962
Fax Number	:	956-787-1564

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MARIA L. LOPEZ
Credential	:
Telephone Number	:	956-787-0962

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	03/05/2012

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Directions to “SOUTH TEXAS REHABILITATION & HAND THERAPY LLP ” Practice Location

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