Organization
PT FIRST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIPE J. MARES PT, DPT, ATC/L (OWNER)
(505) 884-4609
Entity
Organization
Contact information
Practice address
4811 C HARDWARE AVE, SUITE 3, ALBUQUERQUE, NM 87109-2021
(505) 577-8722
Mailing address
4811 C HARDWARE AVE, SUITE 3, ALBUQUERQUE, NM 87109-2021
(505) 884-4609
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
225100000X
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82178836
—
NM
Enumeration date
07/12/2007
Last updated
04/05/2019
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