Organization
RIO RANCHO PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN HOGSTROM (ADMINISTRATOR PT)
(505) 896-4978
Entity
Organization
Contact information
Practice address
4516 ARROWHEAD RIDGE DR SE, RIO RANCHO, NM 87124
(505) 896-4978
Mailing address
4516 ARROWHEAD RIDGE DR SE, RIO RANCHO, NM 87124
(505) 896-4978
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
11/15/2012
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