Individual
KRISTINE MARIE ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 EUBANK BLVD NE, SUITE 2, ALBUQUERQUE, NM 87112-5386
(505) 264-2906
Mailing address
PO BOX 6248, ALBUQUERQUE, NM 87197-6248
(505) 345-3909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2875
NM
225100000X
Physical Therapist
6013
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0446800
AZ BCBS SOMETHING'S MOVIN
AZ
Enumeration date
03/22/2007
Last updated
07/08/2007
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