Organization
EL PASO MANUAL PHYSICAL THERAPY PLLC
Active
Other names
El Paso Manual Physical Therapy, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MIDDAUGH JR. DPT (DOCTOR, OWNER)
(915) 503-1314
Entity
Organization
Contact information
Practice address
2601 E YANDELL DR STE 232, EL PASO, TX 79903-3724
(915) 503-1314
(915) 255-3826
Mailing address
3900 JEFFERSON AVE, EL PASO, TX 79930-6614
(915) 329-6805
(915) 255-3826
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1207709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1207709
TEXAS PHYSICAL THERAPY LICENSE
—
Enumeration date
05/29/2018
Last updated
04/29/2019
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