Organization
SOCORRO PHYSICAL THERAPY INCORPORATED
Active
Organization
SOCORRO PHYSICAL THERAPY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELBY HEATH STEPHENS PT (PRESIDENT)
(575) 838-1000
Entity
Organization
Contact information
Practice address
911B N CALIFORNIA ST, SOCORRO, NM 87801-4269
(575) 838-1000
(575) 838-2000
Mailing address
911B N CALIFORNIA ST, SOCORRO, NM 87801-4269
(575) 838-1000
(575) 838-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3059
NM
225X00000X
Occupational Therapist
2067
NM
Other
Enumeration date
07/14/2006
Last updated
06/30/2010
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