Physical Therapy Center, LLC
NPI #1174867915 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1174867915
- Entity Type
- Organization
- Organization Name
- Physical Therapy Center, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Nov 17, 2012
- Last Updated
- Jun 18, 2014
Practice Location
- Address
- 1607 7TH ST STE C
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-4952
- Phone
- (505) 454-1213
Authorized Official
- Name
- LOGAN ARDEN KANODE, DPT
- Title
- OWNER
- Phone
- (505) 454-1213
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Clinic/Center - Physical Therapy — Physical Therapy |
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