Individual ProviderDolly J MolinaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6611 Boeing Dr, El Paso, TX 79925-1010(915) 780-6576PECOS EnrollmentBased on the most recent information from CMS, provider Dolly J Molina 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 11:02 AM.Profile DetailsProvider ID1588747513Provider TypeIndividualFull NameMolina, Dolly JCredentialPTGenderFemaleSole ProprietorNoEnumeration Date10/23/2006Last Updated10/7/2010Contact InformationPractice LocationPractice Address6611 Boeing Dr, El Paso, TX 79925-1010Phone(915) 780-6576FaxUnlisted FaxMailing LocationMailing Address6611 Boeing Dr, El Paso, TX 79925-1010PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1160590TexasProvider IdentifiersIDDescriptionIssuerID179810001DescriptionMedicaidIssuerUnlistedTexas