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Organization
NEURO RESTORE COGNITIVE AND SPEECH REHAB, PLLC
Active
Organization
NEURO RESTORE COGNITIVE AND SPEECH REHAB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA MCCORMICK SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(817) 221-8854
Entity
Organization
Contact information
Practice address
4420 PAULA RIDGE CT, FORT WORTH, TX 76137-3892
(817) 221-8854
Mailing address
4420 PAULA RIDGE CT, FORT WORTH, TX 76137-3892
(817) 221-8854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/29/2024
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