Individual
MICHELE DESSALET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
6301 FOREST HILLS DR NE, ALBUQUERQUE, NM 87109-4137
(505) 823-8399
(505) 823-8324
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT DEPT., ALBUQUERQUE, NM 87125-6666
(505) 923-5362
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2778
NM
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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