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Individual

ZACHARY MANES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
4400 N SONOMA RANCH BLVD STE B, LAS CRUCES, NM 88011-7343
(575) 222-0188
(575) 652-4142
Mailing address
4400 N SONOMA RANCH BLVD STE B, LAS CRUCES, NM 88011-7343
(575) 222-0188
(575) 652-4142

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT-2023-2064
NM

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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