Individual
ROSA MENDIVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3100 N LEE TREVINO DR, EL PASO, TX 79936-2098
(915) 534-1072
Mailing address
10700 SPRING VALLEY CIR, EL PASO, TX 79927-4880
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2069137
TX
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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