Organization
SPRINT SPORTS REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN M PRITCHARD (DELEGATED OFFICIAL)
(575) 622-6500
Entity
Organization
Contact information
Practice address
113 E COLLEGE BLVD, ROSWELL, NM 88201-5158
(575) 622-6500
(575) 622-9777
Mailing address
113 E COLLEGE BLVD, ROSWELL, NM 88201-5158
(575) 622-6500
(575) 622-9777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00971367
—
NM
Enumeration date
06/27/2006
Last updated
01/23/2020
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