IAN RICARDO GALLEGOS

ROSWELL, NM
NPI1649639931
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  1601)
Enumeration Date2016-02-16
Last Update Date2016-02-16
Business Address
-- IAN RICARDO GALLEGOS PTA
3200 MISSION ARCH DR
ROSWELL, NM 88201-8307
Phone number: 575-624-2583
Mailing Address
-- IAN RICARDO GALLEGOS PTA
3200 MISSION ARCH DR
ROSWELL, NM 88201-8307
Phone number: 575-624-2583