Individual
ROBERT M MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
505 ELM ST. NE, ALBUQERQUE, NM 87120
(505) 727-4725
Mailing address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0996
NM
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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