Individual
MRS. REBECCA LOUISE GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
540 CHAMA ST NE STE 10, ALBUQUERQUE, NM 87108-3595
(505) 888-9663
Mailing address
540 CHAMA ST NE STE 10, ALBUQUERQUE, NM 87108-3595
(505) 888-9663
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
5960
NM
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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