Espanola Sports Medicine, PA
NPI #1982777850 in Espanola, New Mexico
Provider Information
- NPI Number
- 1982777850
- Entity Type
- Organization
- Organization Name
- Espanola Sports Medicine, PA
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Nov 16, 2006
- Last Updated
- Oct 31, 2023
Practice Location
- Address
- 708 LA JOYA ST
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532-2511
- Phone
- (505) 753-6550
Authorized Official
- Name
- THERESA LYNN GODFREY
- Title
- SENIOR ACCOUNTANT
- Phone
- (402) 334-1919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Clinic/Center - Physical Therapy — Physical Therapy |
| Clinic/Center - Rehabilitation — Rehabilitation |
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