Individual
BRITTNI D PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W 21ST ST, CLOVIS, NM 88101-4153
(575) 762-4705
Mailing address
1924 GIDDING ST, CLOVIS, NM 88101-4762
(575) 268-1797
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1582
NM
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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