Individual
MICHAEL SCOTT FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(717) 437-3312
Mailing address
217 MAPLE AVE, GALLUP, NM 87301-5944
(717) 437-3312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005831
KY
225100000X
Physical Therapist
PT021284
PA
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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