Organization
BLUEBONNET THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA TIJERINA (OWNER)
(361) 549-9189
Entity
Organization
Contact information
Practice address
9535 TEAKWOOD DR, SAN ANTONIO, TX 78266-2352
(210) 816-4575
Mailing address
9535 TEAKWOOD DR, SAN ANTONIO, TX 78266-2352
(210) 816-4575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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