Organization
CIBOLA SPORTS AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TODD ROHDE PT, ATC (PHYSICAL THERAPIST/OWNER)
(505) 876-6030
Entity
Organization
Contact information
Practice address
242 MOUNTAIN RD, GRANTS, NM 87020-2602
(505) 876-6030
(505) 876-6151
Mailing address
242 MOUNTAIN RD, GRANTS, NM 87020-2602
(505) 876-6030
(505) 876-6151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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