Individual
MIRANDA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4725
Mailing address
5219 GOLD RUSH DR NW, ALBUQUERQUE, NM 87120-2816
(505) 922-5561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20232045
NM
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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