Individual
PIA S VANHEYSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
7920 CARMEL AVE NE, SUITE 2, ALBUQUERQUE, NM 87122-2966
(505) 797-5505
(505) 797-5510
Mailing address
9639 MONOLITH DR. NW, ALBUQUERQUE, NM 87114
(575) 312-3275
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1714
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23033266
—
NM
Enumeration date
02/13/2006
Last updated
01/15/2013
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