| |
1607 7th St Ste C, Las Vegas, NM 87701-4952 | |
(505) 454-1213 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 1607 7th St Ste C, Las Vegas, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174867915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4234 (New Mexico) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 4234 (New Mexico) | Primary |
Mailing Address | Practice Location Address |
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Po Box 2694, Las Vegas, NM 87701-2694 Ph: (505) 454-1213 | 1607 7th St Ste C, Las Vegas, NM 87701-4952 Ph: (505) 454-1213 |