Individual
MR. ROBERT PHILLIP VELARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
401 N 2ND ST, GRANTS, NM 87020-2507
(505) 285-2614
(505) 287-8487
Mailing address
6128 VIA CORTA DEL SUR NW, ALBUQUERQUE, NM 87120-5014
(505) 899-3532
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2744
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43637850
—
NM
Enumeration date
01/10/2007
Last updated
07/08/2007
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