Organization
EL PASO REHABILITATION SPECIALTY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PABLO ESTRADA DPT, OCS (LEAD PHYSICAL THERAPIST)
(915) 329-7992
Entity
Organization
Contact information
Practice address
3220 MONTANA AVE, EL PASO, TX 79903-2630
(915) 329-7992
Mailing address
3220 MONTANA AVE, EL PASO, TX 79903-2630
(915) 329-7992
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
03/30/2019
Last updated
01/06/2020
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