Individual
MR. MARIO JOSEPH DIGESU JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
219 DR HUBBLE DRIVE, T OR C, NM 87901
(505) 894-8029
(505) 894-8029
Mailing address
PO BOX 3685, T OR C, NM 87901-7685
(505) 894-8029
(505) 894-8029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1440
NM
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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