Individual
LISA MELEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6812 HILDEGARDE DR NE, ALBUQUERQUE, NM 87109-6910
(505) 341-3325
Mailing address
6812 HILDEGARDE DR NE, ALBUQUERQUE, NM 87109-6910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2935
NM
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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