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Individual

DR. ETHAN TERRY STOCKTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
7520 ROSETTE DR NW, ALBUQUERQUE, NM 87120-5280
(505) 206-1148
Mailing address
7520 ROSETTE DR NW, ALBUQUERQUE, NM 87120-5280
(505) 206-1148

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5546
NM

Other

Enumeration date
03/07/2020
Last updated
03/07/2020
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