Individual
DIANE R DEARMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3200 CARLISLE BLVD NE, SUITE 202, ALBUQUERQUE, NM 87110-1600
(505) 999-9870
Mailing address
4909 SERENO DR NE, ALBUQUERQUE, NM 87111-6933
(505) 999-9870
(505) 212-0752
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
6639
NM
Other
Enumeration date
01/28/2011
Last updated
04/29/2011
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