Funtastic Therapy

LBN: Jdm Direct Intervention Pllc
Funtastic Therapy is an health care organization with primary practice located at 1501 E Bustamante St Ste. G, Laredo TX 78041-8905. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Jdm Direct Intervention Pllc can be contacted via phone (956) 718-2020, or through Mendoza, Joanna via phone (956) 718-2020.

Contact Information

Primary practice address
1501 E Bustamante St Ste. G Laredo TX 78041-8905
Fax: (956) 718-2919
Website:
Authorized official contact:
Name: Mendoza, Joanna SLP

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1659658284
LBN Legal business name Jdm Direct Intervention Pllc
DBA Doing business as Funtastic Therapy
Authorized official Mendoza, Joanna SLP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2011
Last updated Nov 10th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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