Individual
AMY DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1400 W 21ST ST, CLOVIS, NM 88101-4153
(575) 762-4705
Mailing address
1400 W 21ST ST, CLOVIS, NM 88101-4153
(575) 762-4705
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-04917
KS
225100000X
Physical Therapist
Primary
4779
NM
Other
Enumeration date
03/08/2016
Last updated
05/24/2016
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