Organization
BOSQUE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE GUTIERREZ DPT (OWNER/PHYSICAL THERAPIST)
(505) 450-3451
Entity
Organization
Contact information
Practice address
227 HWY 346, BOSQUE, NM 87006
(505) 450-3451
Mailing address
PO BOX 460, BOSQUE, NM 87006-0460
(505) 450-3451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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