Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 934 | NM |
NPI | 1033173984 |
---|---|
Provider Name | Ms. Patricia Bartels |
First Address | Albuquerque, NM 87106-2519 |
Second Address | Albuquerque, NM 87108-5153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2006 |
Last Update Date | 08/07/2007 |