Organization
LOGIC NEUROTHERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER L JOHNSON OTR (OWNER/DIRECTOR)
(915) 843-2454
Entity
Organization
Contact information
Practice address
7618 BOEING DR, SUITE F, EL PASO, TX 79925-1153
(915) 843-2454
Mailing address
7618 BOEING DR, SUITE F, EL PASO, TX 79925-1153
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
109107
TX
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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