Individual ProviderJessica Aileen BockPhysical 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 Jessica Aileen Bock 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 ID1679972434Provider TypeIndividualFull NameBock, Jessica AileenCredentialPTGenderFemaleSole ProprietorYesEnumeration Date8/18/2014Last Updated8/18/2014Contact 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 ProvidersLicense1248417Texas