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Organization
ISHINE PEDIATRIC THERAPY CLINIC
Active
Organization
ISHINE PEDIATRIC THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE TARWATER SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(830) 431-0115
Entity
Organization
Contact information
Practice address
616 N MAIN ST, BOERNE, TX 78006-1622
(830) 431-0115
Mailing address
616 N MAIN ST, BOERNE, TX 78006-1622
(830) 431-0115
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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