Individual
MARGARET MCCONVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 STEPHEN MOODY STREET NE, ALBUQUERQUE, NM 87123
(505) 271-3060
Mailing address
12901 CEDARBROOK AVE NE, ALBUQUERQUE, NM 87111-3015
(512) 466-1030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5288
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT5288
STATE OF NEW MEXICO REGULATION AND LICENSING DEPARTMENT PHYSICAL THERAPY BOARD
NM
Enumeration date
09/25/2018
Last updated
04/12/2023
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