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Jennifer A Stocker

Physical Therapy Assistant in Albuquerque, NM. Individual provider (NPI-1).

NPI number1295035236
StatusActive
Last updated in NPPESOct 25, 2010

Details

NPI
1295035236
Entity type
Individual (NPI-1)
Name
Jennifer A Stocker
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 25, 2010
Last updated
Oct 25, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantA-0716NMYes

Practice location

4701 Montgomery Blvd Ne
Albuquerque, NM 87109-1219

Phone 505-727-7800

Mailing address

1617 36th St Se
Rio Rancho, NM 87124-1719

Phone 810-444-0110

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