Organization
LOVELACE MEDICAL SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MENDOZA PTA (PHYSICAL THERAPY ASSISTANT)
(505) 515-6767
Entity
Organization
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4725
Mailing address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
A-0996
NM
Other
Enumeration date
04/11/2016
Last updated
03/21/2017
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