Individual
MR. IAN CHRISTOPHER PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
147 MESCALERO TRL, RUIDOSO, NM 88345-6090
(575) 257-5820
Mailing address
PO BOX 7100, RUIDOSO, NM 88355-7100
(575) 257-5820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3453
NM
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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