Organization
BENESSERE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY D SCULLION PT, MPT (OWNER)
(505) 506-3416
Entity
Organization
Contact information
Practice address
920 CARDENAS DR NE, ALBUQUERQUE, NM 87108-1720
(505) 506-3416
Mailing address
2920 ARIZONA ST NE, ALBUQUERQUE, NM 87110-3304
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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