Organization
BODY LOGIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHON LORI THERAPIST (A/R MANAGER)
(281) 229-0698
Entity
Organization
Contact information
Practice address
2109 WILLIAMSBURG CT N, LEAGUE CITY, TX 77573-5044
(281) 229-0698
Mailing address
2109 WILLIAMSBURG CT N, LEAGUE CITY, TX 77573-5044
(281) 229-0698
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1-7977-0
TX
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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