Individual
STEPHEN ANTHONY AINSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1090 MED PARK DR, LAS CRUCES, NM 88005-3236
(575) 523-7243
Mailing address
324 SALOPEK BLVD, LAS CRUCES, NM 88001-7600
(716) 939-0885
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5683
NM
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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