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Organization

EL PASO REHABILITATION SPECIALTY GROUP

Active
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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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