Provider Demographics
NPI:1003232281
Name:REHAB PRESCRIPTIONS
Entity Type:Organization
Organization Name:REHAB PRESCRIPTIONS
Other - Org Name:REHAB RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:LABOR
Authorized Official - Last Name:JUEZAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:915-588-9554
Mailing Address - Street 1:3945 DONIPHAN PARK CIR
Mailing Address - Street 2:STE. A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79922-1345
Mailing Address - Country:US
Mailing Address - Phone:915-760-8808
Mailing Address - Fax:915-760-8805
Practice Address - Street 1:3945 DONIPHAN PARK CIR
Practice Address - Street 2:STE. A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79922-1345
Practice Address - Country:US
Practice Address - Phone:915-760-8808
Practice Address - Fax:915-760-8805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy