Individual
CARRIE PURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3811 COMMONS AVE NE, ALBUQUERQUE, NM 87109-5832
(505) 345-9599
Mailing address
3811 COMMONS AVE NE, ALBUQUERQUE, NM 87109-5832
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1272
NM
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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