Individual
DEREK SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
240 S CAMINO DEL PUEBLO STE G, BERNALILLO, NM 87004-6076
(505) 373-2836
Mailing address
7849 TRAMWAY BLVD NE STE A, ALBUQUERQUE, NM 87122-2529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2023-2113
NM
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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