Individual
BLAIZE S ALDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3870 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 830-3678
(505) 830-6505
Mailing address
3870 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 830-3678
(505) 830-6505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5891
NM
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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