Individual
DANIEL ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11351 JAMES WATT DR, EL PASO, TX 79936-6627
(915) 373-2211
Mailing address
11351 JAMES WATT DR, EL PASO, TX 79936-6627
(915) 373-2211
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1NPI
1NPI
—
Enumeration date
08/23/2018
Last updated
08/23/2018
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