MEDICARE: CECILIA OCHOA PT

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1447918156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECILIA OCHOA PT

Provider Business Mailing Address
First Line	:	2906 GODDARD PL
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79705-4206
Country	:	US
Telephone Number	:	432-352-5965
Fax Number	:

Provider Business Practice Location Address
First Line	:	5212 SINCLAIR AVE
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79707-6301
Country	:	US
Telephone Number	:	432-689-9898
Fax Number	:

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

Provider Enumeration Date	:	11/30/2021
Last Update Date	:	11/30/2021

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Directions to “ CECILIA OCHOA PT” Practice Location

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