Organization Name: | GO GO CARE REHAB LLC |
NPI Number: | 1083071625 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BALDEMAR GARCIA (OCCUPATIONAL THERAPIST) |
Mailing Address: | 912 E Nolana Loop Suite G Pharr |
State: | TX US |
Postal Code: | 785775838 |
Phone Number: | 9565025717 |
Fax Number: | 9567200882 |
NPI Enumeration Date: | 01/27/2016 |
NPI Last Update Date: | 01/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |