Organization
PERFORMANCE PHYSICAL THERAPY OF EL PASO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA GOUGE (REVENUE CYCLE MANAGER)
(847) 393-4505
Entity
Organization
Contact information
Practice address
820 E REDD RD STE A, EL PASO, TX 79912-7221
(915) 581-0712
Mailing address
1930 THOREAU DR N STE 165, SCHAUMBURG, IL 60173-4179
(847) 393-4505
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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