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Organization
PHYSICAL THERAPY CLINIC AT LA CUEVA
Active
Organization
PHYSICAL THERAPY CLINIC AT LA CUEVA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRACIE LORIECIE SIPPLE (PHYSICAL THERAPIST)
(505) 344-4959
Entity
Organization
Contact information
Practice address
7920 CARMEL NE, SUITE #3, ALBUQUERQUE, NM 87122
(505) 344-4959
(505) 341-0426
Mailing address
7920 CLAREMONT AVE NE, SUITE #3, ALBUQUERQUE, NM 87110-3712
(505) 344-4959
(505) 341-0426
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NM
Other
Enumeration date
06/16/2006
Last updated
08/22/2020
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