Organization
ALAMOGORDO PHYSICAL THERAPY & WELLNESS CENTER, INC
Active
Other names
Alamogordo Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELYNN L PATTILLO (BUSINESS MANAGER)
(575) 439-1397
Entity
Organization
Contact information
Practice address
2351 INDIAN WELLS, ALAMOGORDO, NM 88310-5012
(575) 439-1397
(575) 437-2622
Mailing address
PO BOX 2860, ALAMOGORDO, NM 88311-2860
(575) 439-1397
(575) 437-2622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3137
NM
225X00000X
Occupational Therapist
3137
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2298
LOVELACE
NM
05
—
27851729
—
NM
01
—
83161
PRESBYTERIAN
NM
01
—
NMB2218
MEDICARE B
—
Enumeration date
07/31/2006
Last updated
10/02/2012
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