Provider Demographics
NPI:1487079026
Name:CONTRERAS-CONNER, DEBORAH (LPT, PC)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:CONTRERAS-CONNER
Suffix:
Gender:F
Credentials:LPT, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 REGIS RD
Mailing Address - Street 2:
Mailing Address - City:ANTHONY
Mailing Address - State:NM
Mailing Address - Zip Code:88021-9220
Mailing Address - Country:US
Mailing Address - Phone:915-740-1473
Mailing Address - Fax:915-257-4521
Practice Address - Street 1:10728 ALDAMA CT
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-3214
Practice Address - Country:US
Practice Address - Phone:915-740-1473
Practice Address - Fax:915-257-4521
Is Sole Proprietor?:No
Enumeration Date:2014-02-19
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1056232225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist