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Organization
FUNTASTIC KIDS THERAPY
Active
Organization
FUNTASTIC KIDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNA MENDOZA M. S. CCC-SLP (OWNER/SPEECH PATHOLOGIST)
(956) 718-2020
Entity
Organization
Contact information
Practice address
1501 E. BUSTAMANTE SUITE G, LAREDO, TX 78041
(956) 718-2020
(956) 718-2919
Mailing address
1501 E. BUSTAMANTE SUITE G, LAREDO, TX 78041
(956) 718-2020
(956) 718-2919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190441903
—
TX
Enumeration date
11/29/2010
Last updated
03/10/2022
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