Individual
ABIGAIL LEAH STANISLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4400 LEAD AVE SE, ALBUQUERQUE, NM 87108-2844
(505) 266-3655
Mailing address
815 BACA ST APT C, SANTA FE, NM 87505-0933
(435) 901-3272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5495
NM
Other
Enumeration date
06/30/2019
Last updated
03/04/2024
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