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Organization

MYOFASCIAL REHABILITATION CENTER, LTD.

Active
Other names
MyoRehab
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEORGE SERGIO PELLEGRINO LMT, CMTPT (VICE PRESIDENT)
(505) 872-3100
Entity
Organization

Contact information

Practice address
4308 CARLISLE BLVD NE, SUITE 207, ALBUQUERQUE, NM 87107-4856
(505) 872-3100
(505) 872-2600
Mailing address
PO BOX 91763, ALBUQUERQUE, NM 87199-1763
(505) 872-3100
(505) 872-2600

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2193
NM
225700000X
Massage Therapist
4498
NM

Other

Enumeration date
08/10/2006
Last updated
08/22/2020
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