Individual
DR. KATHRYN VALERIE PORRELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MPT
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
10404 CUEVA DEL OSO NE, ALBUQUERQUE, NM 87111-3765
(505) 323-8218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1916
NM
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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