PHILIP MARTIN BACA

ALBUQUERQUE, NM
NPI1801863410
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NM  2401)
Enumeration Date2006-03-02
Last Update Date2013-08-20
Business Address
Mr. PHILIP MARTIN BACA P.T.
7424 HOLLY AVE. NE
ALBUQUERQUE, NM 87113
Phone number: 505-797-5505
Mailing Address
Mr. PHILIP MARTIN BACA P.T.
8100 M4 WYOMING BLVD. NE #261
ALBUQUERQUE, NM 87113-1956
Phone number: 505-797-5505