Individual
DILLON MEZZACAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2211 MAIN STREET, SUITE C, LOS LUNAS, NM 87031
(505) 866-1677
Mailing address
535 HIGHWAY 314 SW, LOS LUNAS, NM 87031-9600
(505) 866-0055
(505) 866-0057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4595
NM
Other
Enumeration date
04/02/2015
Last updated
07/24/2015
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