NPI 1003981572

Region III Education Service Center

Organisation Early Intervention Provider Agency Victoria, TX

Practice location

Address: 1905 Leary Ln, Victoria, TX 77901-2818
Phone: (361) 573-0731
Fax: (361) 573-1594

Authorised official

Name: Angie Marie Bolom
Title: Coordinator of Therapy Services
Phone: (361) 573-0731

Registered specialties (6)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Texas →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Other Counselor providers in Texas →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Texas →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

Other Physical Therapist providers in Texas →

Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

Other Occupational Therapist providers in Texas →

Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

Other Speech-Language Pathologist providers in Texas →

Registry record

NPI: 1003981572
Entity type: Organization
NPI issued: 21 Nov 2006
Record last updated: 12 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.