Organization
BOERNE JUST-4-KIDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY HAMPTON (OFFICE MANAGER)
(830) 896-3130
Entity
Organization
Contact information
Practice address
448 SIDNEY BAKER ST S STE 103, KERRVILLE, TX 78028-5980
(830) 896-3130
Mailing address
448 SIDNEY BAKER ST S STE 103, KERRVILLE, TX 78028-5980
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
35152
TX
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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