Individual
LEO ANTIPATIA PASTORFIDE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
227 N MAIN ST, ROSWELL, NM 88201-4722
(505) 347-8655
(575) 627-5934
Mailing address
227 N MAIN ST, ROSWELL, NM 88201-4722
(505) 347-8655
(575) 627-5934
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5183
NM
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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