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Organization
LIFESPAN SPEECH AND SWALLOW THERAPY PLLC
Active
Organization
LIFESPAN SPEECH AND SWALLOW THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERIN OIGBOKIE SLP (OWNER/SPEECH PATHOLOGIST)
(210) 876-5282
Entity
Organization
Contact information
Practice address
20658 STONE OAK PKWY UNIT 101, SAN ANTONIO, TX 78258-7361
(210) 876-5282
(210) 864-2199
Mailing address
20658 STONE OAK PKWY UNIT 101, SAN ANTONIO, TX 78258-7361
(210) 876-5282
(210) 864-2199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4310906
—
TX
Enumeration date
10/14/2021
Last updated
10/19/2023
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