Individual
LARRY CARLTON SUZUKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4520 MONTGOMERY BLVD NE, SUITE 4, ALBUQUERQUE, NM 87109-1217
(505) 872-9882
(505) 881-4838
Mailing address
7016 BELLROSE AVE NE, ALBUQUERQUE, NM 87110-1426
(505) 263-7862
(505) 881-4838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
195
NM
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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