Individual provider · NPI-1
Samuel Abbanat
Physical Therapist, Orthopedic · Santa Fe, NM
NPI number1265273833
StatusActive
Last updated in NPPESJun 5, 2024
Details
- NPI
- 1265273833
- Entity type
- Individual (NPI-1)
- Name
- Samuel Abbanat
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2024
- Certification date
- Jun 5, 2024
- Last updated
- Jun 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | PT-2024-0153 | NM | Yes |
Practice location
1221 Mercantile RdSanta Fe, NM 87507-7252
Phone 505-474-7000
Mailing address
1221 Mercantile RdSanta Fe, NM 87507-7252
Phone 505-474-7000
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