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Individual

DEANA T HARTWIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
6301 FOREST HILLS DR NE, ALBUQUERQUE, NM 87109-4137
(505) 823-8350
(505) 823-8355
Mailing address
6301 FOREST HILLS DR NE, ALBUQUERQUE, NM 87109-4137
(505) 823-8350
(505) 823-8355

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0495
NM

Other

Enumeration date
11/28/2006
Last updated
01/24/2012
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