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Physical Therapy Clinic At La Cueva

Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Albuquerque, NM. Organization (NPI-2).

NPI number1174567366
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1174567366
Entity type
Organization (NPI-2)
Legal business name
Physical Therapy Clinic At La Cueva
Organization subpart
No
Enumeration date
Jun 16, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)–NMYes

Practice location

7920 Carmel Ne
Suite #3
Albuquerque, NM 87122

Phone 505-344-4959 · Fax 505-341-0426

Mailing address

7920 Claremont Ave Ne
Suite #3
Albuquerque, NM 87110-3712

Phone 505-344-4959 · Fax 505-341-0426

Authorized official

Tracie Loriecie Sipple
Physical Therapist
5053444959

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