Individual
HEATHER ARMIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9550 SAN MATEO BLVD NE STE A, ALBUQUERQUE, NM 87113-2313
(505) 302-6850
Mailing address
915 MONROE ST SE, ALBUQUERQUE, NM 87108-3510
(505) 715-9651
(505) 672-5137
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4686
NM
2251X0800X
Orthopedic Physical Therapist
4686
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10171568
—
NM
01
—
326556
MEDICARE
NM
Enumeration date
08/17/2015
Last updated
03/16/2021
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