Individual
DR. ALICIA ANDREA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5006 COPPER AVE NE, ALBUQUERQUE, NM 87108-1301
(505) 268-7988
Mailing address
2951 HYDER AVE SE, ALBUQUERQUE, NM 87106-2938
(720) 280-0710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4213
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17900328
—
CO
Enumeration date
07/25/2008
Last updated
10/03/2012
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