Organization
VIDYA THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTA LEEANN TOLO SLP (SPEECH LANGUAGE PATHOLOGIST)
(520) 818-4104
Entity
Organization
Contact information
Practice address
310 S MEYER AVE, TUCSON, AZ 85701-2207
(520) 818-4104
Mailing address
310 S MEYER AVE, TUCSON, AZ 85701-2207
(520) 818-4104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4881
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
745901
—
AZ
Enumeration date
09/18/2014
Last updated
09/18/2014
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