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NPI Code Detail

MEDICARE: RGV'S TRAINING WHEELS THERAPY CLINIC, LLC

MEDICARE: RGV'S TRAINING WHEELS THERAPY CLINIC, LLC
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
1235Z00000XSpeech-Language Pathologist19103TX

General Provider Information

NPI Number : 1669405031
Entity Type Code : Organization
Provider Name (Legal Business Name) : RGV'S TRAINING WHEELS THERAPY CLINIC, LLC
Provider Business Mailing Address
First Line : 2506 BUDDY OWENS AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78504-5464
Country : US
Telephone Number : 956-668-9090
Fax Number : 956-668-9098
Provider Business Practice Location Address
First Line : 2506 BUDDY OWENS AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78504-5464
Country : US
Telephone Number : 956-668-9090
Fax Number : 956-668-9098
Authorized Official
Title or Position : CEO/ADMINISTRATOR
Name : MS. BETSAIDA TIJERINA
Credential : CCC-SLP
Telephone Number : 956-668-9090
Provider Enumeration Date : 07/09/2006
Last Update Date : 08/22/2020

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Directions to “RGV'S TRAINING WHEELS THERAPY CLINIC, LLC ” Practice Location

Language Start Address Practice Location
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