Individual
DR. DELESHA QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
400 N PENNSYLVANIA AVE, ROSWELL, NM 88201-4754
(575) 623-9101
Mailing address
36 HOLLY LOOP, ROSWELL, NM 88201-8368
(281) 840-9741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1278361
TX
225100000X
Physical Therapist
Primary
PT5376
NM
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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