Individual
JOSHUA R GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
414 SIPAPU STREET, TAOS, NM 87571
(575) 758-8761
Mailing address
414 SIPAPU STREET, TAOS, NM 87571
(575) 758-8761
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61532
OR
Other
Enumeration date
03/21/2016
Last updated
03/21/2016
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