Individual
SAMUEL ABBANAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 MERCANTILE RD, SANTA FE, NM 87507-7252
(505) 474-7000
Mailing address
1221 MERCANTILE RD, SANTA FE, NM 87507-7252
(505) 474-7000
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-2024-0153
NM
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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