Individual
JUVENAL OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1514 N ZARAGOZA RD STE B4, EL PASO, TX 79936-8041
(915) 257-5782
Mailing address
11582 CHAPLIN CT, EL PASO, TX 79936-4941
(915) 471-5043
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2168648
TX
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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