Organization
PHYSICAL THERAPY CLINIC AT LA CUEVA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRACIE LORIECIE SIPPLE (PHYSICAL THERAPIST)
(505) 344-4959
Entity
Organization
Contact information
Practice address
7920 CARMEL NE, SUITE #3, ALBUQUERQUE, NM 87122
(505) 344-4959
(505) 341-0426
Mailing address
7920 CLAREMONT AVE NE, SUITE #3, ALBUQUERQUE, NM 87110-3712
(505) 344-4959
(505) 341-0426
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NM
Other
Enumeration date
06/16/2006
Last updated
08/22/2020
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