Organization
THERAPEUTIC INNOVATIONS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA LYNNE CILLESSEN PT (PRESIDENT)
(505) 872-9882
Entity
Organization
Contact information
Practice address
4520 MONTGOMERY BLVD NE STE 4, ALBUQUERQUE, NM 87109-1291
(505) 872-9882
Mailing address
PO BOX 46123, ALBUQUERQUE, NM 87174
(505) 872-9882
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1376
NM
Other
Enumeration date
12/26/2007
Last updated
08/30/2016
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