Individual
JONATHAN ECKBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2729 PORTER AVE, EL PASO, TX 79930-3625
(888) 873-4221
Mailing address
2729 PORTER AVE, EL PASO, TX 79930-3625
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116230
TX
225X00000X
Occupational Therapist
3411
NM
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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