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Organization
PERFORMANCE PHYSICAL THERAPY OF EL PASO PLLC
Active
Organization
PERFORMANCE PHYSICAL THERAPY OF EL PASO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA GOUGE (REVENUE CYCLE MANAGER)
(847) 393-4505
Entity
Organization
Contact information
Practice address
820 E REDD RD STE A, EL PASO, TX 79912-7221
(915) 581-0712
Mailing address
1930 THOREAU DR N STE 165, SCHAUMBURG, IL 60173-4179
(847) 393-4505
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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