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NPI Code Detail

MEDICARE: MISS JASMINE KRISTINA ESCANDON OTR

MEDICARE: MISS JASMINE KRISTINA ESCANDON OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist110765TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110765OTHERTXOCCUPATIONAL THERAPIST

General Provider Information

NPI Number : 1003999012
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JASMINE KRISTINA ESCANDON OTR
Provider Business Mailing Address
First Line : 6611 BOEING DR
Second Line :
City : EL PASO
State : TX
Zip : 79925-1010
Country : US
Telephone Number : 915-780-6576
Fax Number : 915-780-5303
Provider Business Practice Location Address
First Line : 1101 E SCHUSTER AVE
Second Line :
City : EL PASO
State : TX
Zip : 79902-4659
Country : US
Telephone Number : 915-544-8484
Fax Number : 833-272-3454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 06/19/2019

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