Most Relevant Information
Provider Data
NPI Number: | 1003491945 |
Provider Name: | GERALYN KOBLIS MA. CCC |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | 2005 |
Most Important Dates
Enumeration Date: | 03/12/2021 |
Last Updated: | 03/12/2021 |
Provider Practice Location
547 US ROUTE 4
ENFIELD
NH
037483201
Practice Location Phone/Fax
Phone: | 6036325563 |
Fax: |
Provider Mailing Location
BOOTHBY THERAPY SERVICES
806 NORTH MAIN STREET
LACONIA
NH
03246
Provider Mailing Phone/Fax
Phone: | 6035249090 |
Fax: | 6035241497 |