Organization
BOSQUE THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA C BOYD MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(505) 554-0052
Entity
Organization
Contact information
Practice address
980 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9652
(505) 554-0052
(833) 303-1343
Mailing address
980 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9652
(505) 554-0052
(833) 303-1343
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48736309
—
NM
Enumeration date
07/29/2020
Last updated
10/30/2023
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