Nicole Marie Desouchet, DPT

NPI #1447739156 in Bloomfield, New Mexico

Provider Information

NPI Number: 1447739156
Entity Type: Individual
Name: Nicole Marie Desouchet, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 13, 2018
Last Updated: Oct 25, 2018

Practice Location

Address: 204A W BROADWAY AVE
City: Bloomfield
State: New Mexico
ZIP Code: 87413-5903
Phone: (505) 333-7217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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