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General NPI Number Information
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NPI Number | 1881611630
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Entity Type | Organization
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Legal Business Name | THERAPY INTERVENTION & REHABILITATION, INC.
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 820 S FRIENDSWOOD DR SUITE 203-C
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-4591
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Country | US
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Telephone | 281-992-5300
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Fax | 281-992-5302
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Provider Business Mailing Address
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Address Line | PO BOX 1450
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City | FRIENDSWOOD
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State | TX
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Zip | 77549-1450
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Country | US
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Telephone | 281-992-5300
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Fax | 281-992-5302
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CORRINIA Y SPEED
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Credential | MCD-CCC/SLP
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Telephone | 281-992-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 16835
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License Number State | TX
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