Individual
MARTHA A. DUGANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1700 CERRILLOS RD., SANTA FE, NM 87505
(505) 946-9335
(505) 983-6243
Mailing address
PO BOX 4876, SANTA FE, NM 87502
(505) 946-9335
(505) 983-6243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3319
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00076797
—
NM
Enumeration date
09/15/2006
Last updated
07/09/2007
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