Organization
IMAGINE THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE DOEGEY CORTEZ MT-BC (PARTNER, EXECUTIVE DIRECTOR)
(210) 995-6918
Entity
Organization
Contact information
Practice address
14314 DUSKY THRUSH, SAN ANTONIO, TX 78233-5383
(210) 995-6918
Mailing address
14314 DUSKY THRUSH, SAN ANTONIO, TX 78233-5383
(210) 995-6918
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
44621
TX
225A00000X
Music Therapist
Primary
06122
TX
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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