Individual
PETRA PIRC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1350 CENTRAL AVE STE 105, LOS ALAMOS, NM 87544-6217
(505) 662-3384
Mailing address
1350 CENTRAL AVE STE 105, LOS ALAMOS, NM 87544-6217
(505) 662-3384
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2919
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2919
STATE OF NEW MEXICO
NM
Enumeration date
07/02/2018
Last updated
07/02/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us