Individual
MR. DANIEL MICHAEL ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6519 4TH ST NW, LOS RANCHOS DE ALBUQUERQUE, NM 87107-5812
(505) 342-2500
Mailing address
5412 ARABIAN DR NW, ALBUQUERQUE, NM 87120-2247
(505) 899-4447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2366
NM
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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