Provider Demographics
NPI:1447918156
Name:OCHOA, CECILIA (PT)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:OCHOA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 GODDARD PL
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-4206
Mailing Address - Country:US
Mailing Address - Phone:432-352-5965
Mailing Address - Fax:
Practice Address - Street 1:5212 SINCLAIR AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-6301
Practice Address - Country:US
Practice Address - Phone:432-689-9898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist