Individual
JEREMY BILLIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6509 LAMY ST NW, ALBUQUERQUE, NM 87120-4616
(505) 321-5243
Mailing address
6509 LAMY ST NW, ALBUQUERQUE, NM 87120-4616
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1500
NM
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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