Alton Kids Rehab, LLC

NPI #1255635629 in Alton, Texas

Provider Information

NPI Number
1255635629
Entity Type
Organization
Organization Name
Alton Kids Rehab, LLC
Primary Specialty
Clinic/Center - Rehabilitation
Enumeration Date
Dec 28, 2010
Last Updated
Jul 11, 2011

Practice Location

Address
3013 E MAIN AVE
Address 2
SUITE E
City
Alton
State
Texas
ZIP Code
78573-0931
Phone
(956) 581-7200

Authorized Official

Name
MR. MAURICE LANIER MCDONALD, LPT
Title
CEO
Phone
(956) 357-9196

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RehabilitationRehabilitation

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