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Organization
CENTRAL TEXAS THERAPY SPOT PLLC
Active
Organization
CENTRAL TEXAS THERAPY SPOT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY WARLICK MA, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(210) 213-4143
Entity
Organization
Contact information
Practice address
6801 SANGER AVE STE 105, WACO, TX 76710-7807
(210) 213-4143
(254) 732-5922
Mailing address
1420 HOOSIER PARK, ROBINSON, TX 76706-5695
(210) 213-4143
(254) 732-5922
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
108821
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356796213
—
TX
Enumeration date
08/21/2018
Last updated
08/21/2018
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