Individual
ALICIA M ROUSSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DR.
Contact information
Practice address
5006 COPPER AVE NE, ALBUQUERQUE, NM 87108-1301
(505) 268-7988
(505) 268-8021
Mailing address
5006 COPPER AVE NE, ALBUQUERQUE, NM 87108-1301
(505) 268-7988
(505) 268-8021
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT6152
NM
Other
Enumeration date
07/19/2022
Last updated
12/19/2024
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