Organization
EASTER SEALS REHBILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOU MANGOLD (DEPUTY EXECUTIVE DIRECTOR)
(210) 614-3911
Entity
Organization
Contact information
Practice address
2203 BABCOCK RD, SAN ANTONIO, TX 78229-4412
(210) 614-3911
(210) 616-0443
Mailing address
2203 BABCOCK RD, SAN ANTONIO, TX 78229-4412
(210) 614-3911
(210) 616-0443
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
36048
TX
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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