Organization
COURAGEOUS OUTCOMES THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA BROOKS PT, DPT (OWNER)
(575) 749-4875
Entity
Organization
Contact information
Practice address
1744 S ROOSEVELT ROAD 2 1/2, PORTALES, NM 88130-9028
(575) 749-4875
Mailing address
1744 S ROOSEVELT ROAD 2 1/2, PORTALES, NM 88130-9028
(575) 749-4875
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4381
NM
Other
Enumeration date
10/25/2015
Last updated
10/25/2015
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