Individual
RUTH BUSTOS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
6001 SONORA AVE NW, ALBUQUERQUE, NM 87120-4812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
734
NM
Other
Enumeration date
07/30/2006
Last updated
12/09/2008
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