Organization
LEAPS AND BOUNDS THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDREY KENGLA MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(479) 965-1424
Entity
Organization
Contact information
Practice address
404 SECOND ST, CHARLESTON, AR 72933-9125
(479) 965-4190
Mailing address
416 LINCOLN DR, CHARLESTON, AR 72933-9276
(479) 965-4190
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP#1675
AR
235Z00000X
Speech-Language Pathologist
SP#1724
AR
235Z00000X
Speech-Language Pathologist
Primary
SP#2262
AR
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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