Laura Lee Bacon, P.T.
NPI #1316162894 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1316162894
- Entity Type
- Individual
- Name
- Laura Lee Bacon, P.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist - Orthopedic
- Credential
- P.T.
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1751 OLD PECOS TRAIL
- Address 2
- SUITE M
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505
- Phone
- (505) 989-7490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
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