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Individual

CARLA S. NEISWENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4721
Mailing address
13004 SANDIA POINT ROAD NE, ALBUQUERQUE, NM 87111
(505) 856-0768

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2484
NM

Other

Enumeration date
11/06/2006
Last updated
07/08/2007
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