Organization
SIERRA VISTA PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA J HERRERA PT, MA (MEMBER OWNER)
(505) 454-8880
Entity
Organization
Contact information
Practice address
HC69 BOX 2956, 288 NM HWY 276, ROCIADA, NM 87742-9709
(505) 454-8880
(505) 454-8580
Mailing address
HC69 BOX 2956, 288 NM HWY 276, ROCIADA, NM 87742-9709
(505) 454-8880
(505) 454-8580
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3205
NM
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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