Individual
DOMINIC SUBEBE ADOLFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
625 CARDENAS DR SE, ALBUQUERQUE, NM 87108-3723
(505) 537-7183
Mailing address
625 CARDENAS DR SE, ALBUQUERQUE, NM 87108-3723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5386
NM
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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