Individual
TERESA L BIGELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPTA
Contact information
Practice address
4601 COLLEGE BLVD, FARMINGTON, NM 87402-4609
(505) 566-3198
Mailing address
3901 W JUNIPER AVE, PHOENIX, AZ 85053-2711
(651) 239-4063
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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