Individual
DR. ALYSON YACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT, CERT. DN
Contact information
Practice address
104 OLD LAS VEGAS HIGHWAY, SANTA FE, NM 87505
(505) 992-4995
Mailing address
218 MAYNARD ST APT C, SANTA FE, NM 87501-2950
(856) 371-2706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5103
NM
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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