Individual
LEANN FRAZER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5006 COPPER NE, EXPLOR ABILITIES, ALBUQUERQUE, NM 87108
(505) 268-7988
(505) 268-8021
Mailing address
3125 16TH AVE, RIO RANCHO, NM 87124
(505) 994-0689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005
NM
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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