Individual ProviderDolores PowellPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6601 Montana Ave Ste G&H, El Paso, TX 79925-2155(915) 838-7604PECOS EnrollmentBased on the most recent information from CMS, provider Dolores Powell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194191197Provider TypeIndividualFull NamePowell, DoloresCredentialDPT, PTGenderFemaleSole ProprietorYesEnumeration Date8/13/2015Last Updated8/13/2015Contact InformationPractice LocationPractice Address6601 Montana Ave Ste G&H, El Paso, TX 79925-2155Phone(915) 838-7604Fax(915) 772-4633Mailing LocationMailing Address6601 Montana Ave Ste G&H, El Paso, TX 79925-2155Phone(915) 838-7604Fax(915) 772-4633Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1050730Texas