Individual
ELIZABETH WEIL LEBRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
826 CAM DEL MONTE REY STE A2, SANTA FE, NM 87505-3961
(505) 954-9940
Mailing address
44 SUNDANCE DR, SANTA FE, NM 87506-8551
(505) 983-1391
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3887
NM
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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