Individual
MARINA I MENCHACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
PO DRAWER 70, ANTHONY, NM 88021-0070
(575) 618-7473
Mailing address
PO DRAWER 70, ANTHONY, NM 88021-0070
(575) 618-7473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1175062
TX
225100000X
Physical Therapist
Primary
4463
NM
Other
Enumeration date
10/20/2011
Last updated
08/01/2014
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