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Dominic Subebe Adolfo, PT

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

NPI number1417656034
StatusActive
Last updated in NPPESMar 2, 2023

Details

NPI
1417656034
Entity type
Individual (NPI-1)
Name
Dominic Subebe Adolfo
Credential
PT
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 2, 2023
Certification date
Mar 2, 2023
Last updated
Mar 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT5386NMYes

Practice location

625 Cardenas Dr Se
Albuquerque, NM 87108-3723

Phone 505-537-7183

Mailing address

625 Cardenas Dr Se
Albuquerque, NM 87108-3723

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