MR. Jaime Ricardo Maldonado, PTA
NPI #1720590698 in Gallup, New Mexico
Provider Information
- NPI Number
- 1720590698
- Entity Type
- Individual
- Name
- MR. Jaime Ricardo Maldonado, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Oct 31, 2017
- Last Updated
- Oct 31, 2017
Practice Location
- Address
- 204 E LOGAN AVE
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-6134
- Phone
- (505) 728-5060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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