Individual
KELLY MARQUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
6400 JEFFERSON ST NE, #102, ALBUQUERQUE, NM 87109-3470
(505) 344-2922
(505) 214-5030
Mailing address
6400 JEFFERSON ST NE, #102, ALBUQUERQUE, NM 87109-3470
(505) 344-2922
(505) 214-5030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3097
NM
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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