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Organization

MAJESTIC REHABILITATION AND WELLNESS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PIUS O SODIPE (CEO)
(915) 626-6120
Entity
Organization

Contact information

Practice address
11199 PELLICANO DR STE A, EL PASO, TX 79935-5304
(915) 626-6120
(915) 856-3668
Mailing address
11199 PELLICANO DR STE A, EL PASO, TX 79935-5304
(915) 626-6120
(915) 856-3668

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32075565690
STATE
TX
Enumeration date
10/05/2020
Last updated
10/11/2021
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