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Organization
LOGOPEDIA THERAPY CLINIC, INC
Active
Organization
LOGOPEDIA THERAPY CLINIC, INC
Active
Parent organization
LOGOPEDIA THERAPY CLINIC, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOGOPEDIA THERAPY CLINIC, INC
Authorized official
DALIA IRENE GUTIERREZ (OWNER)
(956) 255-4154
Entity
Organization
Contact information
Practice address
848 MANZANILLA COURT, SUITE 1, ELSA, TX 78543-2798
(956) 255-4154
(956) 255-4157
Mailing address
3409 W STATE HIGHWAY 107, EDINBURG, TX 78539-2802
(956) 255-4154
(956) 255-4157
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
TX
225XP0200X
Pediatric Occupational Therapist
—
TX
235Z00000X
Speech-Language Pathologist
Primary
—
TX
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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