Individual
MS. GLENNA C ALLENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
301 E MIEL DE LUNA AVE, TUCUMCARI, NM 88401-3810
(505) 461-7233
Mailing address
1817 S 6TH ST, TUCUMCARI, NM 88401-3655
(505) 403-6457
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0398
NM
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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