Individual
KELLEY MARIE MOSIMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
160 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-0111
(575) 445-0112
Mailing address
35257 HIGHWAY 87, RATON, NM 87740-4448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4316
NM
225100000X
Physical Therapist
8602588-2401
UT
Other
Enumeration date
06/10/2013
Last updated
07/02/2020
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