Organization
GULF COAST SPEECH PATHOLOGY LLC
Active
Other names
Gulf Coast Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MARY BONOMO (ADMINISTRATOR)
(409) 242-6500
Entity
Organization
Contact information
Practice address
928 BROADWAY ST, GALVESTON, TX 77550-6228
(409) 242-6500
(409) 497-4389
Mailing address
PO BOX 57, GALVESTON, TX 77553-0057
(409) 242-6500
(409) 497-4389
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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