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Contact Information

MARY LOU LANGFORD, PT
4400 LEAD AVE SE
ALBUQUERQUE, NM87108-2844
 Phone: 505-266-3655
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARY LOU LANGFORD · (Female)

NPI # 1487664132
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 08/08/2006
Last updated 03/02/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 212
  • NM Medicaid B5268
  • NM Other NM00Q054 BLUE CROSS BLUE SHIELD
  • NM Other 26785 PRESBYTERIAN HEALTH PLAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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