Individual
MS. STELLA M AVENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3715 SOUTHERN BLVD SE, SUITE 1106, RIO RANCHO, NM 87124-2080
(505) 462-6047
(212) 953-1353
Mailing address
3715 SOUTHERN BLVD SE, RIO RANCHO, NM 87124
(505) 462-6047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
011122
NY
225100000X
Physical Therapist
Primary
3788
NM
Other
Enumeration date
05/10/2007
Last updated
01/24/2012
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