Individual
MICHAEL GURULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4400 N SONOMA RANCH BLVD STE B, LAS CRUCES, NM 88011-7343
(575) 222-0188
(575) 652-4142
Mailing address
4400 N SONOMA RANCH BLVD STE B, LAS CRUCES, NM 88011-7343
(575) 222-0188
(575) 652-4142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1137
NM
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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