Individual
KELLY P DANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
(505) 291-2967
(505) 291-2504
Mailing address
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
(505) 291-2967
(505) 291-2504
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4174
NM
Other
Enumeration date
10/04/2012
Last updated
11/01/2012
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