Bobruk, Toni S
Bobruk, Toni S is an sole proprietor health care provider with primary practice located at 2002 Avenue O , Huntsville TX 77340-5024. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Bobruk, Toni S can be contacted via phone (936) 295-2263.Contact Information
Primary practice address
2002 Avenue O
Huntsville TX 77340-5024
Phone: (936) 295-2263
Fax: (936) 291-6928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT016043 | Texas |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 11768 | Texas |
Profile Details
| NPI number | 1619080637 |
|---|---|
| LBN Legal business name | Bobruk, Toni S |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619080637 | NPPES |
| Texas | Other | 0052901 | BLUE CROSS & BLUE SHIELD |
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