Individual
MADOKA TAGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221B ROMA AVE NW, ALBUQUERQUE, NM 87102-1874
(501) 908-6488
Mailing address
1221B ROMA AVE NW, ALBUQUERQUE, NM 87102-1874
(501) 908-6488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4531
NM
225100000X
Physical Therapist
PTL.0015925
CO
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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