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Organization
LRK
Active
Organization
LRK
Active
Other names
Southmost Children's Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALINDA AVILA M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(956) 655-4962
Entity
Organization
Contact information
Practice address
3150 INTERNATIONAL BLVD, STE 3104-B, BROWNSVILLE, TX 78521-3214
(956) 621-2557
(956) 621-2577
Mailing address
2415 N 28TH LN, MCALLEN, TX 78501-6395
(956) 655-4962
(956) 621-2577
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
06158
TX
225X00000X
Occupational Therapist
102570
TX
235Z00000X
Speech-Language Pathologist
Primary
103578
TX
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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