Individual
MR. JUAN PABLO CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
11351 A JAMES WATT, EL PASO, TX 79936
(915) 849-6602
(915) 849-6603
Mailing address
11351 A JAMES WATT, EL PASO, TX 79936
(915) 849-6602
(915) 849-6603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111474
TX
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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