Organization
BRINCA BOCA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLEDAD GONZALEZ M.S., CCC-SLP (CEO)
(469) 694-1030
Entity
Organization
Contact information
Practice address
10260 KILKENNY PL, DALLAS, TX 75228-3235
(469) 694-1030
Mailing address
9540 GARLAND RD. STE 381, #255, DALLAS, TX 75218-3423
(469) 694-1030
(469) 694-1030
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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