Organization
TAOS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA B. ESPARZA P.T. (PHYSICAL THERAPIST)
(575) 758-8761
Entity
Organization
Contact information
Practice address
414 SIPAPU STREET, TAOS, NM 87571-6498
(575) 758-8761
(575) 751-0448
Mailing address
6955 NDCBU, TAOS, NM 87571-6498
(575) 758-8761
(575) 751-0448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N5566
—
NM
Enumeration date
09/20/2006
Last updated
10/17/2012
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