Individual
IRENE S PLUIMMENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
21 SANDS LN, SANTA FE, NM 87507-9641
(505) 690-2460
Mailing address
21 SANDS LN, SANTA FE, NM 87507-9641
(505) 690-2460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1576
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000D3744
—
NM
05
—
31029001
—
NM
Enumeration date
12/17/2006
Last updated
06/05/2024
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