MEDICARE: VALERIE CATHLEEN ROMERO PTA

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
1	225200000X	Physical Therapy Assistant	2056878	TX

General Provider Information

NPI Number	:	1144501578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE CATHLEEN ROMERO PTA

Provider Business Mailing Address
First Line	:	3100 N LEE TREVINO DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-2098
Country	:	US
Telephone Number	:	915-534-1072
Fax Number	:	915-599-2724

Provider Business Practice Location Address
First Line	:	3100 N LEE TREVINO DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-2098
Country	:	US
Telephone Number	:	915-534-1072
Fax Number	:	915-599-2724

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2011
Last Update Date	:	08/30/2011

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Directions to “ VALERIE CATHLEEN ROMERO PTA” Practice Location

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