Provider Demographics
NPI:1962735274
Name:VOB THERAPY SOLUTIONS
Entity type:Organization
Organization Name:VOB THERAPY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BERNEAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:GANTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-992-3791
Mailing Address - Street 1:5620 FM 359 RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-9606
Mailing Address - Country:US
Mailing Address - Phone:832-595-2233
Mailing Address - Fax:832-595-2236
Practice Address - Street 1:7674 PECHACEK RD
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:TX
Practice Address - Zip Code:78950-2160
Practice Address - Country:US
Practice Address - Phone:979-992-3791
Practice Address - Fax:979-992-2828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-18
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty