Organization
LIVING DESERT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY SALAZAR (OFFICE MANAGER)
(505) 234-1790
Entity
Organization
Contact information
Practice address
1101 W MERMOD ST STE B, CARLSBAD, NM 88220-4407
(505) 234-1790
(505) 234-1898
Mailing address
PO BOX 896, CARLSBAD, NM 88221-0896
(505) 234-1790
(505) 234-1898
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2043
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18002997304
—
NM
Enumeration date
06/28/2006
Last updated
08/22/2020
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