Individual
MICHAEL KURITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
204A W BROADWAY AVE, BLOOMFIELD, NM 87413-5903
(505) 333-7217
Mailing address
15 APEX DR, HIGHLAND, IL 62249-1282
(618) 441-0482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4907
NM
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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