Trailhead Pelvic & Visceral Physical Therapy LLC
NPI #1023757747 in Los Ranchos De Albuquerque, New Mexico
Provider Information
- NPI Number
- 1023757747
- Entity Type
- Organization
- Organization Name
- Trailhead Pelvic & Visceral Physical Therapy LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jun 1, 2022
- Last Updated
- Jul 17, 2022
Practice Location
- Address
- 7013 4TH ST NW STE I
- State
- New Mexico
- ZIP Code
- 87107-6639
- Phone
- (505) 357-0055
Authorized Official
- Name
- DR. SUSANNA P VANDERWALT
- Title
- CEO
- Phone
- (505) 639-9937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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