Organization
EL PASO KINETIC REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE OCTAVIO AGUIRRE (MANAGING PARTNER)
(915) 203-4660
Entity
Organization
Contact information
Practice address
4532 N MESA ST STE 303, EL PASO, TX 79912-6286
(915) 577-0051
Mailing address
4532 N MESA ST STE 303, EL PASO, TX 79912-6286
(915) 577-0051
(915) 577-0054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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