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NPI Code Detail

MEDICARE: EL PASO REHABILITATION CENTER

MEDICARE: EL PASO REHABILITATION CENTER
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
1225100000XPhysical Therapist1145027TX

General Provider Information

NPI Number : 1730234840
Entity Type Code : Organization
Provider Name (Legal Business Name) : EL PASO REHABILITATION CENTER
Provider Business Mailing 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 : 915-496-0751
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 : 915-496-0751
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. JAIME BARCELEAU
Credential : LMSW
Telephone Number : 915-544-8484
Provider Enumeration Date : 01/25/2007
Last Update Date : 08/22/2020

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Directions to “EL PASO REHABILITATION CENTER ” Practice Location

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