Organization
ARTESIA PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELYNN PATTILLO (BUSINESS MANAGER)
(575) 439-1397
Entity
Organization
Contact information
Practice address
601 W MAHONE DR, ARTESIA, NM 88210-2080
(575) 439-1397
Mailing address
PO BOX 2860, ALAMOGORDO, NM 88311-2860
(575) 439-1397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02357
LOVELACE
NM
01
—
26778
PRESBYTERIAN
NM
05
—
Q1865
—
NM
Enumeration date
07/31/2006
Last updated
03/09/2010
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