Individual
KIMBERLY WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6400 JEFFERSON ST NE STE 102, ALBUQUERQUE, NM 87109-3491
(505) 344-2922
Mailing address
800 PUEBLO SOLANO RD NW, LOS RANCHOS, NM 87107-6418
(682) 321-5524
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1960
NM
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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