| NPI | 1083157143 |
|---|---|
| Doing Business As | GEAUX PLAY PEDIATRIC THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | KELLY BOENIG D'AQUILLA Owner 225-245-5170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 4527) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist (Licence: LA Z12040) | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2020-08-21 |