Individual
RICARDO AMAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4700
Mailing address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT37189
CA
2251N0400X
Neurology Physical Therapist
Primary
3935
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3935
—
NM
Enumeration date
06/27/2011
Last updated
10/23/2024
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