Organization
LA LUZ THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN ELIZABETH LELAND-HEINO PT (OWNER)
(575) 770-7078
Entity
Organization
Contact information
Practice address
1337 GUSDORF RD STE G, SUITE G, TAOS, NM 87571-6297
(575) 758-4337
(575) 751-1890
Mailing address
1337 GUSDORF RD STE G, SUITE G, TAOS, NM 87571-6297
(575) 758-4337
(575) 751-1890
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
612
NM
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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