Provider Demographics
NPI:1801849070
Name:PROFESSIONAL HAND THERAPY OF EL PASO PLLC
Entity Type:Organization
Organization Name:PROFESSIONAL HAND THERAPY OF EL PASO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:ARTURO
Authorized Official - Last Name:INFANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-593-2000
Mailing Address - Street 1:9530 VISCOUNT
Mailing Address - Street 2:SUITE 1 I
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925
Mailing Address - Country:US
Mailing Address - Phone:915-593-2000
Mailing Address - Fax:915-593-2002
Practice Address - Street 1:9530 VISCOUNT
Practice Address - Street 2:SUITE 1 I
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925
Practice Address - Country:US
Practice Address - Phone:915-593-2000
Practice Address - Fax:915-593-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
P6032Medicare UPIN
TX8E0192Medicare ID - Type Unspecified