ELIZABETH PROVOST

ALBUQUERQUE, NM
NPI1730328501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NM  633)
Enumeration Date2009-02-18
Last Update Date2009-02-18
Business Address
ELIZABETH PROVOST PT
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106-2745
Phone number: 505-272-9870
Mailing Address
ELIZABETH PROVOST PT
1650 UNIVERSITY BLVD NE SUITE 116
ALBUQUERQUE, NM 87102-1726
Phone number: 505-272-9870
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