Organization
RUNFREEPT
Active
Organization
RUNFREEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREEBORN MONDELLO DPT (PHYSICAL THERAPIST)
(541) 951-8170
Entity
Organization
Contact information
Practice address
20 MEADOW HAWK LN, SILVER CITY, NM 88022-9727
(541) 951-8170
Mailing address
20 MEADOW HAWK LN, SILVER CITY, NM 88022-9727
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4487
NM
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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