Individual
BRENT ANTHONY MCCAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2825 FIGUEROH AVE, FARMINGTON, NM 87401-1845
(505) 701-5188
Mailing address
2825 FIGUEROH AVE, FARMINGTON, NM 87401-1845
(505) 701-5188
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1086
NM
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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