Organization
EL PASO KINETIC REHAB SERVICES LLC
Active
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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