Individual
PATTI A. CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2445 MISSOURI AVE STE A, LAS CRUCES, NM 88001-5111
(575) 523-8080
(575) 523-8861
Mailing address
2445 MISSOURI AVE STE A, LAS CRUCES, NM 88001-5111
(575) 523-8080
(575) 523-8861
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1059079
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1589947-02
—
TX
Enumeration date
06/10/2005
Last updated
03/12/2025
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