Ishine Pediatric Therapy Clinic

NPI #1578191524 in Boerne, Texas

Provider Information

NPI Number
1578191524
Entity Type
Organization
Organization Name
Ishine Pediatric Therapy Clinic
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Mar 27, 2020
Last Updated
Mar 27, 2020

Practice Location

Address
616 N MAIN ST
City
Boerne
State
Texas
ZIP Code
78006-1622
Phone
(830) 431-0115

Authorized Official

Name
ANNE TARWATER, SLP
Title
SPEECH LANGUAGE PATHOLOGIST/OWNER
Phone
(830) 431-0115

Specialties & Taxonomy Codes

Specialty
Physical Therapist - PediatricsPediatrics
Occupational Therapist - PediatricsPediatrics
Speech-Language Pathologist

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