Organization
CARLSBAD PHYSICAL THERAPY & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J PATTILLO PT (PRESIDENT, ADMINISTRATIVE MANAGER)
(575) 439-1397
Entity
Organization
Contact information
Practice address
126 S CANYON ST, CARLSBAD, NM 88220-5733
(575) 439-1397
(575) 437-2622
Mailing address
PO BOX 2860, ALAMOGORDO, NM 88311-2860
(575) 439-1397
(575) 437-2622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E6877
—
NM
Enumeration date
07/31/2006
Last updated
04/20/2017
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