Woody Johnson CPO

NPI 1417354176 - Orthotist - 222Z00000X

NPI Details
NPI 1417354176
Gender Male
Enumeration Date 11/24/2014
Last Updated 11/24/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
521 GASLIGHT BLVD
LUFKIN TX, 75904-3127, US
Phone (936) 634-3298
Fax
Business Location
521 GASLIGHT BLVD
LUFKIN TX, 75904-3127, US
Phone
Fax
Toxanomy
Taxonomy Code 222Z00000X
License State Texas
License Number 1378
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According to our database, Woody Johnson CPO NPI is 1417354176, taxonomy code is 222Z00000X and license number is 1378, license state is located at Texas. Woody Johnson CPO physically located at 521 Gaslight Blvd, Lufkin TX, 75904-3127. NPI Number Woody Johnson CPO has the Individual type.

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1417354176 NPI number is provided on an as is basis without warranty of any kind. 1417354176 is maintained by the National Plan & Provider Enumeration System. The contents of Woody Johnson CPO are for informational purposes only.