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Individual

LIAT ALKON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2220 RAYMAC RD SW, ALBUQUERQUE PUBLIC SCHOOL - PARK MIDDLE SCHOOL, ALBUQUERQUE, NM 87105-6843
(505) 296-9521
(505) 296-2200
Mailing address
7318 GENE AVE NE, ALBUQUERQUE, NM 87109-1849
(505) 881-4480

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3120
NM

Other

Enumeration date
05/23/2006
Last updated
09/11/2013
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