Organization
TURQUOISE TRAIL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R HOERNING PT (RPT DIRECTOR)
(505) 984-2032
Entity
Organization
Contact information
Practice address
4930 MCLEOD RD NE, ALBUQUERQUE, NM 87109-2118
(505) 884-2032
(505) 837-2030
Mailing address
PO BOX 29269, SANTA FE, NM 87592-9269
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
3125
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80455751
—
NM
Enumeration date
07/26/2005
Last updated
08/22/2020
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