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Individual

TED J ESPARZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3870 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 830-3678
(505) 830-6505
Mailing address
3870 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 830-3678
(505) 830-6505

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2523
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38706539
NM
Enumeration date
10/18/2006
Last updated
03/15/2019
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