Organization
PARADIGM PHYSICAL THERAPY AND WELLNESS INC
Active
Other names
Los Lunas Physical Therapy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD JOSEPH SANCHEZ PHYSICAL THERAPIST (PRES/OWNER)
(505) 866-0055
Entity
Organization
Contact information
Practice address
1220 CAMINO DEL LLANO, BELEN, NM 87002-2727
(505) 866-0055
(505) 866-0057
Mailing address
535 HIGHWAY 314 SW, LOS LUNAS, NM 87031-9600
(505) 866-0055
(505) 866-0057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
593
NM
261QP2000X
Physical Therapy Clinic/Center
2251
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Q0406
—
NM
01
—
1013214857
VALERIE GUTIERREZ, DPT
NM
01
—
1215238910
PATRICK VIGIL, DPT
NM
01
—
1245380039
BERNALILLO FACILITY NPI
NM
01
—
1326062423
STEVE WAGHORN, PT
NM
01
—
1386651412
LOS LUNAS FACILITY NPI
NM
01
—
1417971508
DONALD SANCHEZ' NPI
NM
01
—
DC4165
GROUP RR MEDICARE
NM
Enumeration date
01/12/2007
Last updated
03/10/2014
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