Individual
CAROLYN G ADIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1090 MOUNTAIN VALLEY RD, EDGEWOOD, NM 87015-8044
(505) 281-1811
Mailing address
PO BOX 3778, EDGEWOOD, NM 87015-3778
(505) 281-7848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1049
NM
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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