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Firm Foundation Pediatric Ther
Speech/Language/Hearing Specialist/Technologist in Ruston, Louisiana
NPI 1376216788

Firm Foundation Pediatric Ther is a Speech/Language/Hearing Specialist/Technologist based in Choudrant, LA. Firm Foundation Pediatric Ther practices in Ruston, LA. The NPI Number for Firm Foundation Pediatric Ther is 1376216788 and holds a License No. (Louisiana).

The current practice location address for Firm Foundation Pediatric Ther is 1316 E Kentucky Ave, Ruston, LA and can be reached out via phone at 318-224-9081.

Location: 1316 E Kentucky Ave, Ruston, LA, 71227-3630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376216788
Provider Name
Firm Foundation Pediatric Ther
Credential
Provider Entity Type
Organization
Address
1316 E Kentucky Ave, Ruston, LA, 71227-3630
Phone Number
318-224-9081
Fax Number
Provider Enumeration Date
07/30/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1884600 05 LA
institution
Provider Business Practice Location Address Details
Address
1316 E Kentucky Ave
City
Ruston
State
Louisiana
Zip
71270-6609
Phone Number
318-224-9081
Fax Number
person
Provider Business Mailing Address Details
Address
1316 E Kentucky Ave
City
Ruston
State
Louisiana
Zip
71270-6609
Phone Number
318-224-9081
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
235500000X
License No.
()
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
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