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Organization
ORION PEDIATRIC THERAPY
Active
Organization
ORION PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA ALVIZO (ADMINISTRATOR)
(956) 983-2440
Entity
Organization
Contact information
Practice address
1606 E QUAIL ST, D, PHARR, TX 78577-7167
(956) 983-2440
(832) 582-3660
Mailing address
1606 E QUAIL ST, D, PHARR, TX 78577-7167
(956) 983-2440
(832) 582-3660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101612
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101612
TEXAS BOARD SPEECH LICENSE
TX
Enumeration date
10/27/2015
Last updated
10/27/2015
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