DENISE PROVOOST

ALBUQUERQUE, NM
NPI1962755009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  A0714)
Enumeration Date2012-10-25
Last Update Date2012-10-25
Business Address
DENISE PROVOOST PTA
1515 EUBANK BLVD SE BLDG 832
ALBUQUERQUE, NM 87185
Phone number: 505-844-4237
Mailing Address
DENISE PROVOOST PTA
512 CALIFORNIA STREET
ALBUQUERQUE, NM 87108
Phone number: 505-249-9698
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