Individual
MICHAEL JOSEPH BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, C-PS
Contact information
Practice address
601 E LINCOLN ST, LAS VEGAS, NM 87701-4502
(505) 425-2998
(505) 425-2897
Mailing address
9016 RIATO AVE, ALBUQUERQUE, NM 87121
(505) 974-1306
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT4085
NM
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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