Provider Demographics
NPI:1083224372
Name:UPPER EXTREMITY REHABILITATION INSTITUTE
Entity Type:Organization
Organization Name:UPPER EXTREMITY REHABILITATION INSTITUTE
Other - Org Name:THE HAND AND UPPER BODY REHABILITATION CENTER PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTES
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:915-383-7675
Mailing Address - Street 1:138 S RESLER DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-4302
Mailing Address - Country:US
Mailing Address - Phone:915-444-8867
Mailing Address - Fax:915-444-8869
Practice Address - Street 1:138 S RESLER DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-4302
Practice Address - Country:US
Practice Address - Phone:915-444-8867
Practice Address - Fax:915-444-8869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty