Individual
THY NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 CENTRAL AVE SE STE D, ALBUQUERQUE, NM 87102-4650
(505) 312-7930
(505) 242-2917
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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