Aisa Malonzo Tagle, PT

NPI #1699336826 in Raton, New Mexico

Provider Information

NPI Number: 1699336826
Entity Type: Individual
Name: Aisa Malonzo Tagle, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 27, 2019
Last Updated: Jun 27, 2019

Practice Location

Address: 1660 HOSPITAL DR
City: Raton
State: New Mexico
ZIP Code: 87740-2022
Phone: (575) 445-2734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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