Organization
CACTUS FLOWER PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABIGAIL STANISLAW PT, DPT (OWNER/PHYSICAL THERAPIST)
(435) 901-3272
Entity
Organization
Contact information
Practice address
815 BACA ST APT C, SANTA FE, NM 87505-0933
(435) 901-3272
Mailing address
815 BACA ST APT C, SANTA FE, NM 87505-0933
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598327553
—
NM
Enumeration date
07/02/2021
Last updated
07/02/2021
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