Organization
BILINGUAL SPEECH THERAPY
Active
Other names
All Children's Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORENA BRADFIELD M.S. CCC-SLP (SPEECH PATHOLOGIST)
(956) 561-1576
Entity
Organization
Contact information
Practice address
306 N MAIN ST STE 1B, HINESVILLE, GA 31313-2562
(956) 561-1576
(912) 335-3528
Mailing address
12300 APACHE AVE APT 607, SAVANNAH, GA 31419-2322
(912) 320-4573
(912) 335-3528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT009674
GA
225XP0200X
Pediatric Occupational Therapist
OT003949
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP006947
GA
Other
Enumeration date
06/04/2012
Last updated
10/13/2020
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