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Organization
COASTLINE SPEECH THERAPY, INC.
Active
Organization
COASTLINE SPEECH THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND BOETGER MS CCC-SLP (OWNER)
(714) 485-8822
Entity
Organization
Contact information
Practice address
8593 SAN ANTONIO DR, BUENA PARK, CA 90620-3705
(714) 485-8822
Mailing address
8593 SAN ANTONIO DR, BUENA PARK, CA 90620-3705
(714) 485-8822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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