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NPI Code Detail

MEDICARE: MRS. JANET RUTH ALBA OTR

MEDICARE: MRS. JANET RUTH ALBA 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 Therapist102949TX

General Provider Information

NPI Number : 1679597199
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET RUTH ALBA OTR
Provider Business Mailing Address
First Line : 5384 CORY DR
Second Line :
City : EL PASO
State : TX
Zip : 79932-3006
Country : US
Telephone Number : 915-588-1789
Fax Number : 915-584-5657
Provider Business Practice Location Address
First Line : 120 PARAGON LN STE 218
Second Line :
City : EL PASO
State : TX
Zip : 79912-6317
Country : US
Telephone Number : 915-584-5683
Fax Number : 915-584-5657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 08/12/2024

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