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Contact Information

NEW MEXICO PHYSICAL THERAPISTS DBA VIBRANTCARE
2211C MAIN ST SE
LOS LUNAS, NM87031-8297
 Phone: 505-866-1677
 Fax: 505-866-1767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for NEW MEXICO PHYSICAL THERAPISTS DBA VIBRANTCARE

NPI # 1285943787
LBN Legal business name NEW MEXICO PHYSICAL THERAPISTS DBA VIBRANTCARE
Authorized official JENNIFER NICHOLSON - (HR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/30/2010
Last updated 09/30/2010 - About 16 years ago
Identifiers
NM License # 3896
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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