Individual
JOHN JOSEPH RENNA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
7 FALCON CT, TIJERAS, NM 87059-7378
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1361
NM
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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