Freeborn Mondello

NPI #1790187631 in Silver City, New Mexico

Provider Information

NPI Number: 1790187631
Entity Type: Individual
Name: Freeborn Mondello
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Sep 23, 2014
Last Updated: Sep 23, 2014

Practice Location

Address: 20 MEADOW HAWK LN
City: Silver City
State: New Mexico
ZIP Code: 88022-9727
Phone: (541) 951-8170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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