Individual
BLAS HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1515 EUBANK BLVD SE, MS 1019, ALBUQUERQUE, NM 87123-3453
(505) 844-3108
Mailing address
1515 EUBANK BLVD SE, MS 1019, ALBUQUERQUE, NM 87123-3453
(505) 844-3108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3864
NM
225100000X
Physical Therapist
7322
AZ
Other
Enumeration date
09/25/2007
Last updated
07/08/2015
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