Stacy Sandoval
Physical Therapist in Lovington, NM. Individual provider (NPI-1).
NPI number1164511879
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164511879
- Entity type
- Individual (NPI-1)
- Name
- Stacy Sandoval
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2569 | NM | Yes |
Practice location
1600 N Main AveLovington, NM 88260-2813
Phone 505-396-6611
Mailing address
1600 N Main AveLovington, NM 88260-2813
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All 10 Physical Therapist providers in Lovington · All 235 providers in Lovington
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