Organization
WHOLE CHILD THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY KATHRYN COBURN CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(575) 442-3405
Entity
Organization
Contact information
Practice address
344 CLEVELAND AVE SE STE F, TUMWATER, WA 98501-3342
(603) 350-2220
Mailing address
344 CLEVELAND AVE SE STE F, TUMWATER, WA 98501-3342
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/05/2015
Last updated
06/18/2024
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