Organization
SUN COUNTRY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY J ELWELL PT MOMT (OWNER)
(505) 625-9020
Entity
Organization
Contact information
Practice address
800 WEST SECOND STREET, ROSWELL, NM 88201
(505) 625-9020
(505) 625-9025
Mailing address
800 WEST SECOND STREET, ROSWELL, NM 88201
(505) 625-9020
(505) 625-9025
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B5672
—
NM
Enumeration date
10/31/2006
Last updated
08/22/2020
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