Organization
PARADIGM PHYSICAL THERAPY AND WELLNESS INC
Active
Organization
PARADIGM PHYSICAL THERAPY AND WELLNESS INC
Active
Other names
Los Lunas Physical Therapy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD J. SANCHEZ P.T. (OWNER / PRESIDENT)
(505) 866-0055
Entity
Organization
Contact information
Practice address
240 S. CAMINO DEL PUEBLO, SUITE G, BERNALILLO, NM 87004-5925
(505) 771-2447
(505) 771-2360
Mailing address
535 US HIGHWAY 314, LOS LUNAS, NM 87031-9600
(505) 866-0055
(505) 866-0057
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2646
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Q0406
—
NM
01
—
1013214857
VALERIE GUTIERREZ, DPT
NM
01
—
1215238910
PATRICK VIGIL NPI
NM
01
—
1326062423
STEVE WAGHORN NPI
NM
01
—
1356491146
BELEN FACILITY NPI
NM
01
—
1386651412
LOS LUNAS FACILITY NPI
NM
01
—
1417971508
DONALD SANCHEZ NPI
NM
01
—
1558526467
HAROLD MORGAN NPI
NM
01
—
DC4165
GROUP RR MEDICARE
NM
Enumeration date
01/12/2007
Last updated
12/04/2013
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