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Organization
REHAB RANCH OF EL PASO, LLC
Active
Organization
REHAB RANCH OF EL PASO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN MARIE CONDON (OWNER)
(915) 581-1198
Entity
Organization
Contact information
Practice address
6666 MORRILL RD, EL PASO, TX 79932-2608
(915) 877-5602
(915) 877-7308
Mailing address
6666 MORRILL RD, EL PASO, TX 79932-2608
(915) 877-5602
(915) 877-7308
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095MX
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
07/30/2006
Last updated
07/25/2007
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