Individual
DR. LARISA MAUREEN HART VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1851 OLD US 66, EDGEWOOD, NM 87015-7200
(505) 281-8463
Mailing address
1851 OLD US 66, EDGEWOOD, NM 87015-7200
(505) 281-8463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5110
NM
225100000X
Physical Therapist
Primary
NM5110
NM
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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