Organization
ASCENSION PHYSIO COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA NIWINSKI PT, DPT (OWNER)
(312) 292-7530
Entity
Organization
Contact information
Practice address
4425 JUAN TABO BLVD NE STE 101, ALBUQUERQUE, NM 87111-2684
(505) 750-8575
Mailing address
4425 JUAN TABO BLVD NE STE 101, ALBUQUERQUE, NM 87111-2684
(505) 750-8575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
10/11/2023
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