Individual
MRS. DELIA ELISABETH VICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1082 WHIRL AWAY DR, EL PASO, TX 79936-7830
(915) 859-1838
(915) 859-1838
Mailing address
1082 WHIRL AWAY DR, EL PASO, TX 79936-7830
(915) 859-1838
(915) 859-1838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1096667
TX
Other
Enumeration date
12/12/2006
Last updated
07/09/2007
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