Individual
MATTHEW JACOB SENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10101 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-6022
(505) 298-1231
Mailing address
7456 SKY COURT CIR NE, ALBUQUERQUE, NM 87110-4537
(505) 267-6634
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1649
NM
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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