Individual
MS. TERESA JO VARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
501 S ABILENE, PORTALES, NM 88130
(505) 359-3707
(505) 356-6682
Mailing address
501 S ABILENE, PORTALES, NM 88130
(505) 359-3707
(505) 356-6682
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
897
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K0317
—
NM
Enumeration date
12/08/2006
Last updated
07/08/2007
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