TYLER VAN BASTIAN

ALBUQUERQUE, NM
NPI1558979245
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NM  PT5730)
Enumeration Date2020-07-19
Last Update Date2020-07-19
Business Address
TYLER VAN BASTIAN DPT
2100 LOUISIANA BLVD NE STE 410
ALBUQUERQUE, NM 87110-5412
Phone number: 505-724-4300
Mailing Address
TYLER VAN BASTIAN DPT
5120 ALBERTA AVE NE
RIO RANCHO, NM 87144-6482
Phone number: 505-615-6368
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