Organization
GULF COAST OCCUPATIONAL THERAPY LLC
Active
Other names
Gulf Coast Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE MARY BONOMO MS/SLP/CCC (OWNER)
(409) 242-6500
Entity
Organization
Contact information
Practice address
928 BROADWAY ST, GALVESTON, TX 77550
(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
225X00000X
Occupational Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
02/19/2013
Last updated
06/23/2018
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