Individual
MS. ELIZABETH ACKERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
179 BRIDGE ST, LAS VEGAS, NM 87701-3495
(505) 426-2300
Mailing address
313 1/2 ROSARIO BLVD, SANTA FE, NM 87501-1343
(985) 855-5139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4330
NM
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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