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Organization

THRIVE WELLNESS AND REHAB, P.L.L.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL DAVID GONZALEZ PT (OWNER)
(575) 587-7061
Entity
Organization

Contact information

Practice address
103 LIVINGSTON LOOP, STE B-1, SANTA TERESA, NM 88008-9747
(575) 587-7061
(915) 493-8264
Mailing address
103 LIVINGSTON LOOP, STE B-1, SANTA TERESA, NM 88008-9747
(575) 587-7061
(915) 493-8264

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/16/2012
Last updated
09/27/2012
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