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Individual

DONALD J SANCHEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
535 US HIGHWAY 314, SW, LOS LUNAS, NM 87031
(505) 861-1200
(505) 861-1220
Mailing address
535 US HIGHWAY 314, SW, LOS LUNAS, NM 87031
(505) 861-1200
(505) 861-1220

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
593
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000Q0406
MEDICAID GROUP #
NM
01
1245380039
BERNALILLO FACILITY NPI
NM
01
1356491146
BELEN FACILITY NPI
NM
01
1386651412
LOS LUNAS FACILITY NPI
NM
01
593
NM STATE LICENSE
NM
01
650012467
RAILROAD MEDICARE
NM
Enumeration date
07/26/2006
Last updated
06/03/2010
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