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Organization

SPACE FOR HEALING PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCES ERTEL PT (OWNER/DIRECTOR)
(609) 915-8047
Entity
Organization

Contact information

Practice address
1300 LUISA ST, SUITE 21, SANTA FE, NM 87505-4204
(609) 915-8047
Mailing address
PO BOX O, SANTA FE, NM 87504-0558
(609) 915-8047

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4157
NM

Other

Enumeration date
03/17/2015
Last updated
03/20/2015
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