Organization
SPINE AND MUSCLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE J ALVARADO (OFFICE MANAGER)
(505) 822-8440
Entity
Organization
Contact information
Practice address
10400 ACADEMY RD NE, SUITE 313, ALBUQUERQUE, NM 87111-1229
(505) 822-8440
(505) 822-8460
Mailing address
10400 ACADEMY RD NE, SUITE 313, ALBUQUERQUE, NM 87111-1229
(505) 822-8440
(505) 822-8460
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
4773
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4773
NEUROMUSCULAR THERAPIST
NM
Enumeration date
03/28/2008
Last updated
03/28/2008
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