Individual
KATHY DIERUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
UNM HSC MSC09 5230, ALBUQUERQUE, NM 87131-0001
(505) 272-5968
(505) 272-8079
Mailing address
UNM HSC MSC09 5230, ALBUQUERQUE, NM 87131-0001
(505) 272-5968
(505) 272-8079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
465
NM
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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