Individual
LOUISE MARIE STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4600 MONTGOMERY BLVD NE, BLDG D SUITE 100, ALBUQUERQUE, NM 87109-1210
(505) 343-6920
(505) 343-6365
Mailing address
PO BOX 47, BELEN, NM 87002-0047
(505) 864-3109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
101
NM
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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