Acosta, Patricia Reveles
Acosta, Patricia Reveles is an individual health care provider with primary practice located at 11395 James Watt Dr Ste A6 , El Paso TX 79936-5941. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Acosta, Patricia Reveles can be contacted via phone (915) 629-7669.Contact Information
Primary practice address
11395 James Watt Dr Ste A6
El Paso TX 79936-5941
Phone: (915) 629-7669
Fax: (915) 629-7679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1061430 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1061430 | Texas |
Profile Details
| NPI number | 1306953062 |
|---|---|
| LBN Legal business name | Acosta, Patricia Reveles |
| Credentials | PHYSICAL THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Nov 9th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306953062 | NPPES |
| Texas | Other | 1061430 | THERAPY LICENSE |
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