4 Gen Therapy Services LLC
Speech-Language Pathologist, in El Paso, TX. Organization (NPI-2).
NPI number1619674256
StatusActive
Last updated in NPPESFeb 15, 2023
Details
- NPI
- 1619674256
- Entity type
- Organization (NPI-2)
- Legal business name
- 4 Gen Therapy Services LLC
- Organization subpart
- No
- Enumeration date
- Feb 14, 2023
- Certification date
- Feb 15, 2023
- Last updated
- Feb 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
1401 Montana Ave Ste CEl Paso, TX 79902-5654
Phone 915-209-0014 · Fax 915-792-0029
Mailing address
1401 Montana Ave Ste CEl Paso, TX 79902-5654
Phone 915-209-0014 · Fax 915-792-0029
Authorized official
Audrey Alba
Owner
9158731021
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