Provider Demographics
NPI:1639477391
Name:SPECTRUM THERAPY CONSULTANTS INC.
Entity Type:Organization
Organization Name:SPECTRUM THERAPY CONSULTANTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:G
Authorized Official - Last Name:TERRAZAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:915-850-4401
Mailing Address - Street 1:1501 CIMARRON RDG
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-8141
Mailing Address - Country:US
Mailing Address - Phone:915-850-4401
Mailing Address - Fax:915-832-0865
Practice Address - Street 1:7430 REMCON CIR
Practice Address - Street 2:BLDG A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3514
Practice Address - Country:US
Practice Address - Phone:915-231-2285
Practice Address - Fax:915-231-2288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-04
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1093144225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty