Individual
JODY ANN SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2041 CLIFF DR NE, RIO RANCHO, NM 87144-7739
(505) 238-4875
Mailing address
2041 CLIFF DR NE, RIO RANCHO, NM 87144-7739
(505) 238-4875
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0803
NM
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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