Individual
JUSTINE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 MENAUL BLVD NE STE B, ALBUQUERQUE, NM 87107-1872
(505) 842-5151
Mailing address
3101 MENAUL BLVD NE STE B, ALBUQUERQUE, NM 87107-1872
(505) 842-5151
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1697
NM
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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