Individual
DR. BRITTANY L BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8000
Mailing address
649 CAMINO FLORETTA NW, ALBUQUERQUE, NM 87107-5712
(505) 702-6575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3883
NM
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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