Organization
ROCK PHYSICAL THERAPY RESILIENCE & TRAINING CENTER PC
Active
Other names
Rock Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLYN BRIAN WYATT DPT (OWNER/PHYSICAL THERAPIST)
(505) 278-8295
Entity
Organization
Contact information
Practice address
845 SULLIVAN AVE, FARMINGTON, NM 87401-7356
(505) 860-7812
Mailing address
845 N SULLIVAN AVE, FARMINGTON, NM 87401-7356
(505) 278-8295
(505) 436-2077
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
01/04/2021
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