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 |