Individual
DEBRA MARIE CASIANO-BUSTAMANTE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
VAMC 1501 SAN PEDRO, ALBUQUERQUE, NM 87112
(505) 265-1711
Mailing address
13801 CRESTED BUTTE DR NE, ALBUQUERQUE, NM 87112
(505) 298-3028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1862
NM
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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