Organization
SOUTHWEST ORTHOPAEDIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KALE ROSS ISAACSON (MANAGING MEMBER LLC/OWNER)
(505) 292-3317
Entity
Organization
Contact information
Practice address
1334 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5067
(505) 292-3317
(505) 292-3402
Mailing address
1334 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5067
(505) 292-3317
(505) 292-3402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07726333
—
NM
Enumeration date
06/22/2006
Last updated
05/12/2008
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