MS. Tallethea R Mose, BACH.

NPI #1386823797 in Farmington, New Mexico

Provider Information

NPI Number: 1386823797
Entity Type: Individual
Name: MS. Tallethea R Mose, BACH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: BACH.
Enumeration Date: Nov 1, 2007
Last Updated: Nov 1, 2007

Practice Location

Address: 301 S AUBURN AVE
City: Farmington
State: New Mexico
ZIP Code: 87401-5737
Phone: (505) 564-8563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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