Individual
MICHELLE VAN ZELST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1361 SARA WAY SE, RIO RANCHO, NM 87124-0999
(505) 377-3841
(505) 891-7811
Mailing address
1361 SARA WAY SE, RIO RANCHO, NM 87124-0999
(505) 377-3841
(505) 891-7811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1331
NM
Other
Enumeration date
02/13/2018
Last updated
04/25/2022
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