Individual ProviderAndrea GochePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6358 Edgemere Blvd, El Paso, TX 79925-3517(915) 562-8525(915) 245-7093PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Goche 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 yesterday at 12:02 PM.Profile DetailsProvider ID1447687447Provider TypeIndividualFull NameGoche, AndreaTitleMissGenderFemaleSole ProprietorNoEnumeration Date10/4/2013Last Updated2/18/2019Contact InformationPractice LocationPractice Address6358 Edgemere Blvd, El Paso, TX 79925-3517Phone(915) 562-8525FaxUnlisted FaxMailing LocationMailing Address12065 Waterside Dr, El Paso, TX 79936-0346Phone(915) 245-7093FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1314972TexasCode222Q00000XDescriptionDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode146D00000XDescriptionPersonal Emergency Response AttendantEmergency Medical Service ProvidersLicenseUnlisted IssuerTexas