Organization
VIVA PHYSIOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESS M GARCIA PT, DPT (AUTHORIZED AGENT/MANAGING MEMBER)
(575) 650-7544
Entity
Organization
Contact information
Practice address
1033 LAWRENCE DR NE, ALBUQUERQUE, NM 87123-1811
(575) 650-7544
Mailing address
PO BOX 90113, ALBUQUERQUE, NM 87199-0113
(575) 650-7544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/17/2023
Last updated
11/12/2024
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