Organization
HENDRICKS FUNCTIONAL HEALTH, LLC
Active
Other names
Santa Fe Therapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GINNA HENDRICKS (MANAGER)
(505) 603-6220
Entity
Organization
Contact information
Practice address
1800 OLD PECOS TRL, SANTA FE, NM 87505-4759
(505) 424-8777
Mailing address
25 TEDDY BEAR TRL, SANTA FE, NM 87505-8118
(505) 603-6220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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