Jemez Physical Therapy, PC

NPI #1295778470 in Los Alamos, New Mexico

Provider Information

NPI Number
1295778470
Entity Type
Organization
Organization Name
Jemez Physical Therapy, PC
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jun 14, 2006
Last Updated
Oct 24, 2007

Practice Location

Address
2101 TRINITY DR
Address 2
STE N
ZIP Code
87544-4103
Phone
(505) 661-6191

Authorized Official

Name
LORRAINE L GARDNER, P.T.
Title
PRESIDENT
Phone
(505) 661-6191

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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