Individual
MARCUS SALAZAR CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 CABEZON BLVD SE STE 102, RIO RANCHO, NM 87124-1513
(505) 994-2599
Mailing address
2401 CABEZON BLVD SE STE 102, RIO RANCHO, NM 87124-1513
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
Primary
PT-2024-0154
NM
Other
Enumeration date
05/08/2019
Last updated
06/25/2024
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