Provider Demographics
NPI:1881329050
Name:WONDER THERAPY CENTER, INC.
Entity type:Organization
Organization Name:WONDER THERAPY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MS
Authorized Official - First Name:MARLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-535-0453
Mailing Address - Street 1:7505 LOCKHEED DR STE B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-2405
Mailing Address - Country:US
Mailing Address - Phone:786-535-0453
Mailing Address - Fax:786-522-7204
Practice Address - Street 1:7505 LOCKHEED DR STE B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-2405
Practice Address - Country:US
Practice Address - Phone:786-535-0453
Practice Address - Fax:786-522-7204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty