Individual
JULIE C DE BACA MANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
RCI INC, 1111 MENUAL BLVD NE, ALBUQUERQUE, NM 87107
(505) 255-5501
(505) 255-9971
Mailing address
7205 HAWTHORN AVE NE, ALBUQUERQUE, NM 87113-2035
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2070
NM
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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