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Individual

MS. JANICE BLITZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
1911 FIFTH ST, SUITE #205, SANTA FE, NM 87505
(505) 995-8851
(505) 995-8658
Mailing address
401 ALEJANDRO ST, SANTA FE, NM 87501
(505) 995-8851
(505) 995-8658

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
NM1589
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00Q083
BC BS OF NM
NM
Enumeration date
04/06/2007
Last updated
07/08/2007
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