NPI | 1386085041 |
---|---|
Doing Business As | GULF COAST THERAPY |
Entity Type | Organization |
Authorized Contact | JULIE MARY BONOMO Slp/Owner 409-242-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103159) |
235Z00000X Speech-Language Pathologist, (Licence: TX 105339) | |
Enumeration Date | 2013-07-10 |
Last Update Date | 2018-08-29 |