Individual
KATHERINE REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
3832 E MAIN ST, UNITS E AND F, FARMINGTON, NM 87402-8749
(505) 564-2955
(505) 564-2662
Mailing address
7111 DELLWOOD CT, FARMINGTON, NM 87402-5045
(505) 327-5533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3403
NM
225100000X
Physical Therapist
9029
CO
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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