Individual
ITXCHEL YESENIA DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3830 COMMONS AVE NE, ALBUQUERQUE, NM 87109-5831
(505) 424-1239
(505) 808-7278
Mailing address
PO BOX 33286, SANTA FE, NM 87594-3286
(505) 424-1239
(505) 808-7278
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2025-0027
NM
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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