Individual
FREEBORN MONDELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 MEADOW HAWK LN, SILVER CITY, NM 88022-9727
(541) 951-8170
Mailing address
20 MEADOW HAWK LN, SILVER CITY, NM 88022-9727
(541) 951-8170
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12654
CO
225100000X
Physical Therapist
21351
MA
225100000X
Physical Therapist
4487
NM
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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