Individual
MR. FERDIRIC KING MADARANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
10101 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-6022
(505) 298-1231
Mailing address
10101 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-6022
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
4297
NM
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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