Individual
DARLENE MARIE ELLEFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-2042
Mailing address
524 MISSION AVE NE, ALBUQUERQUE, NM 87107-4906
(505) 345-3624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1669
NM
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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