Individual
MS. JAYNE A DEARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
120 LA JOYA RD, SANTA FE, NM 87501
(505) 984-0796
Mailing address
120 LA JOYA RD, SANTA FE, NM 87501
(505) 984-0796
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
835
NM
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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