Individual
MISS STEPHANIE RACHELLE MAITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-7800
Mailing address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-7800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4200
NM
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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