TEISHA SOUTH

FARMINGTON, NM
NPI1396106720
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  A-1054)
Enumeration Date2016-03-12
Last Update Date2016-03-12
Business Address
-- TEISHA SOUTH PTA
3501 N BUTLER AVE SUITE 101
FARMINGTON, NM 87401-6429
Phone number: 505-326-0064
Mailing Address
-- TEISHA SOUTH PTA
3501 N BUTLER AVE SUITE 101
FARMINGTON, NM 87401-6429
Phone number:
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