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Organization
GULF COAST SPEECH PATHOLOGY LLC
Active
Organization
GULF COAST SPEECH PATHOLOGY LLC
Active
Other names
Gulf Coast Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MARY BONOMO (ADMINISTRATOR)
(409) 242-6500
Entity
Organization
Contact information
Practice address
928 BROADWAY ST, GALVESTON, TX 77550-6228
(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
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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