Individual
LAURA HEUCHEMER HEUCHEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
300 WILSON ST, CLAYTON, NM 88415-3304
(575) 374-5733
Mailing address
915 MAPLE ST, CLAYTON, NM 88415-2909
(505) 382-1126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0568
NM
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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