Organization
BUBBLES PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISSA LOPE LIVESON OTR, MOT (OWNER)
(956) 724-5448
Entity
Organization
Contact information
Practice address
2100 CORPUS CHRISTI ST, SUITE 14, LAREDO, TX 78043-3398
(956) 724-5448
(956) 724-5449
Mailing address
2100 CORPUS CHRISTI ST, SUITE 14, LAREDO, TX 78043-3398
(956) 724-5448
(956) 724-5449
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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