Organization
LOVELACE UNM REHABILITATION HOSPITAL LLC
Active
Parent organization
AR
Other names
Lovelace UNM Outpatient Rehabilitation Santa Fe
Organization subpart
Yes
Provider details
NPI number
Legal business name
AR
Authorized official
STEPHEN C PETROVICH (E)
(615) 296-3000
Entity
Organization
Contact information
Practice address
1692B SUITE 202 HOSPITAL DRIVE, SANTA FE, NM 87505
(505) 982-6399
(505) 982-3219
Mailing address
1 BURTON HILLS BLVD, SUITE 250, NASHVILLE, TN 37215-6293
(615) 296-3000
(615) 296-6227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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