Individual
VICTORIA D. COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
325 N BERGIN LN, BLOOMFIELD, NM 87413-6729
(505) 634-3619
(505) 634-3675
Mailing address
1374 E 3RD AVE, DURANGO, CO 81301-5242
(505) 634-3619
(505) 634-3675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1310
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L8326
—
NM
Enumeration date
05/21/2007
Last updated
07/09/2007
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