Individual
KELLI MAGINOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 CENTRAL AVE STE 105, LOS ALAMOS, NM 87544-6217
(505) 662-3384
Mailing address
1973 CUMBRES PATIO ST, LOS ALAMOS, NM 87544-2734
(361) 549-7678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
42792
CA
225100000X
Physical Therapist
Primary
PT5442
NM
Other
Enumeration date
03/18/2019
Last updated
05/31/2022
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