Organization
SPINE SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA SANDOVAL PT, DPT, CEAS (PHYSICAL THERAPIST)
(505) 424-1239
Entity
Organization
Contact information
Practice address
2538 CAMINO ENTRADA, STE. 300, SANTA FE, NM 87507-4919
(505) 424-1239
Mailing address
PO BOX 33286, SANTA FE, NM 87594-3286
(505) 424-1239
(888) 746-4761
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1523
NM
Other
Enumeration date
05/06/2008
Last updated
12/28/2012
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