# PERFORMANCE PHYSICAL THERAPY OF EL PASO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780186742
- **Authorized official:** CLARA GOUGE (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (847) 393-4505

## Contact information

- **Practice address:** 820 E REDD RD STE A, EL PASO, TX 79912-7221
- **Practice address phone:** (915) 581-0712
- **Mailing address:** 1930 THOREAU DR N STE 165, SCHAUMBURG, IL 60173-4179
- **Mailing address phone:** (847) 393-4505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2018
- **Last updated:** 03/06/2018