Individual
IRENE V VERDEFLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 W 2ND ST STE 1-5, ROSWELL, NM 88201-4671
(575) 840-3879
(866) 337-2718
Mailing address
613 W 2ND ST STE 1-5, ROSWELL, NM 88201-4671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2024-0048
NM
225200000X
Physical Therapy Assistant
2093639
TX
Other
Enumeration date
12/06/2012
Last updated
02/15/2024
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