Organization
BLUEBONNET PEDIATRIC THERAPY LLC
Active
Other names
Bluebonnet Pediatric Therapy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH KAY GILMORE OTR/L (OCCUPATIONAL THERAPIST)
(817) 800-4431
Entity
Organization
Contact information
Practice address
18 SCENIC LOOP RD # 200D, BOERNE, TX 78006-8672
(817) 800-4431
Mailing address
18 SCENIC LOOP RD STE 200D, BOERNE, TX 78006-8672
(830) 755-0098
(830) 327-0099
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457606469
NPI
—
Enumeration date
02/03/2022
Last updated
12/02/2024
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