Individual
LAURA CARBAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 COORS BLVD NW, ALBUQUERQUE, NM 87120-1173
(505) 836-4990
Mailing address
3810 YELLOWSTONE DR, LAS CRUCES, NM 88011-9064
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT-2023-2271
NM
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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