Organization
VISTA LINDA REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHIA SEIM DPT (DIRECTOR)
(575) 613-2850
Entity
Organization
Contact information
Practice address
35 BUENA VISTA RD, EL PRADO, NM 87529
(575) 613-2850
Mailing address
PO BOX 2841, TAOS, NM 87571-2841
(575) 613-2850
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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