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Organization
GOBER LLC
Active
Organization
GOBER LLC
Active
Other names
East Texas Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GOBER (OWNER)
(903) 896-1700
Entity
Organization
Contact information
Practice address
108 N HOUSTON ST, EDGEWOOD, TX 75117-2500
(903) 896-1700
(903) 896-1701
Mailing address
PO BOX 234, EDGEWOOD, TX 75117-2500
(903) 896-1700
(903) 896-1701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
02/22/2010
Last updated
01/26/2011
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