Individual
MR. REUEL JOSEPH TRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(505) 625-2571
(505) 627-2544
Mailing address
700 N MISSOURI AVE APT 20, ROSWELL, NM 88201-4860
(505) 317-8559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211438
VA
225100000X
Physical Therapist
3236
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72021888
—
NM
Enumeration date
01/16/2007
Last updated
08/06/2019
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