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Individual

MR. ROBERT O BACHICHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4152 SOARING EAGLE LN, SANTA FE, NM 87507-0817
(505) 470-2082
(505) 473-3100
Mailing address
4152 SOARING EAGLE LN, SANTA FE, NM 87507-0817
(505) 470-2082
(505) 473-3100

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2606
NM
225700000X
Massage Therapist
Primary
2090
NM

Other

Enumeration date
12/07/2010
Last updated
12/07/2010
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