Individual
MARISA RAQUEL ESQUIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9201 MONTGOMERY BLVD NE STE 302, ALBUQUERQUE, NM 87111-2467
(505) 293-6262
(505) 293-6622
Mailing address
9201 MONTGOMERY BLVD NE STE 302, ALBUQUERQUE, NM 87111-2467
(505) 293-6262
(505) 293-6622
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1708
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053470187
FACILITY NPI
—
Enumeration date
06/21/2017
Last updated
11/30/2018
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