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Organization
GULF COAST THERAPY
Active
Organization
GULF COAST THERAPY
Active
Other names
Gulf Coast Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE MARY BONOMO MS/SLP/CCC (SLP/OWNER)
(409) 242-6500
Entity
Organization
Contact information
Practice address
928 BROADWAY, GALVESTON, TX 77550
(409) 242-6500
(409) 497-4389
Mailing address
PO BOX 57, GALVESTON, TX 77553-0057
(409) 242-6500
(409) 497-4389
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
103159
TX
235Z00000X
Speech-Language Pathologist
105339
TX
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
08/29/2018
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