Organization
GAIN PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC DOUGLAS PAYNE PT, DPT, OCS (OWNER)
(505) 257-8288
Entity
Organization
Contact information
Practice address
17 AVENIDA CAMPO VERDE, SANTA FE, NM 87506-0269
(505) 257-8288
Mailing address
PO BOX 184, TESUQUE, NM 87574-0184
(505) 257-8288
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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