Individual
VIRGINIA ANN BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
404 BRUNN SCHOOL RD, SUITE D, SANTA FE, NM 87505-1102
(505) 983-0670
(505) 983-0118
Mailing address
404 BRUNN SCHOOL RD STE D, SANTA FE, NM 87505-1102
(505) 983-0670
(505) 983-0118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2941
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
482278ZTV8
MEDICARE PTAN
—
Enumeration date
04/05/2006
Last updated
08/14/2019
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