Individual
MR. CHARLES EDWARD BOMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
709 PASEO SERENO DR, HORIZON CITY, TX 79928-8431
(915) 702-6267
Mailing address
709 PASEO SERENO DR, HORIZON CITY, TX 79928-8431
(915) 702-6267
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
214465
TX
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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