Individual
TAMARA NICOLE HARTENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4516 ARROWHEAD RIDGE DR SE, RIO RANCHO, NM 87124-5932
(505) 896-4978
(505) 994-2842
Mailing address
535 HIGHWAY 314 SW, LOS LUNAS, NM 87031-9600
(505) 866-0055
(505) 866-0057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4208
NM
Other
Enumeration date
09/11/2012
Last updated
09/10/2015
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