Organization
PEAK PHYSICAL THERAPY
Active
Organization
PEAK PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN TERRY STOCKTON DPT (PHYSICAL THERAPIST/SOLE MEMBER)
(505) 206-1148
Entity
Organization
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
—
—
Other
Enumeration date
03/14/2020
Last updated
03/14/2020
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