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Organization
GULF COAST OCCUPATIONAL THERAPY LLC
Active
Organization
GULF COAST OCCUPATIONAL THERAPY LLC
Active
Other names
Gulf Coast Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE MARY BONOMO MS/SLP/CCC (OWNER)
(409) 242-6500
Entity
Organization
Contact information
Practice address
928 BROADWAY ST, GALVESTON, TX 77550
(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
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
251E00000X
Home Health Agency
—
NULL
Other
Enumeration date
02/19/2013
Last updated
06/23/2018
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