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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