Individual
JANA R. COVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
12127 B3 N. HWY 14, CEDAR CREST, NM 87008
(505) 286-3678
Mailing address
12127 B3 N. HWY 14, CEDAR CREST, NM 87008
(505) 286-3678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
879
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58583009
—
NM
Enumeration date
03/14/2007
Last updated
03/30/2016
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