Individual
ROBERT M. KAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8616 MENAUL BLVD NE STE A, ALBUQUERQUE, NM 87112-2262
(505) 292-4784
Mailing address
1941 ROANOKE DR NE, RIO RANCHO, NM 87144-5535
(505) 401-5221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT-2023-0018
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5059598860
NEW MEXICO MVD
NM
Enumeration date
02/14/2023
Last updated
02/14/2023
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