Organization Name: | ALL VALLEY THERAPY CENTER |
NPI Number: | 1487814224 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA AVILES (ADMINISTRATOR) |
Mailing Address: | 1145 Ross Rd Suites # K L San Benito |
State: | TX US |
Postal Code: | 78586 |
Phone Number: | 9564631210 |
Fax Number: | 9564213446 |
NPI Enumeration Date: | 06/16/2008 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 101747 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |