Organization
THRIVE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY SANIE MSP (OWNER)
(318) 267-2597
Entity
Organization
Contact information
Practice address
107 CONTEMPO AVE STE 1, WEST MONROE, LA 71291-5382
(318) 267-2597
Mailing address
107 CONTEMPO AVE STE 1, WEST MONROE, LA 71291-5382
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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