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1356042683
BOOM PEDIATRIC THERAPY
PROSPER, TX
NPI
1356042683
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Entity Type
Organization
Authorized Contact
CHRISTIAN RIVERA-PEREZ
Owner
469-268-9010
Organization Subpart ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2023-03-14
Last Update Date
2023-11-25
Business Address
BOOM PEDIATRIC THERAPY
1428 CARNATION ST
PROSPER, TX 75078-9779
Phone number: 469-268-9010
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Mailing Address
BOOM PEDIATRIC THERAPY
5900 BALCONES DR STE 100
AUSTIN, TX 78731-4298
Phone number: 469-268-9010
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