Individual
BRIANNA RABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1129 MECHEM DR STE C, RUIDOSO, NM 88345-7292
(575) 808-8721
(575) 808-8723
Mailing address
125 VISTA RIO BONITO DR, ALTO, NM 88312-9400
(575) 808-8721
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1924
NM
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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