Carolyn D. Benally in Albuquerque - Physical Therapy Assistant

Carolyn D. Benally - NPI 1215112909

Carolyn D. Benally is a Physical Therapy Assistant in Albuquerque, New Mexico. Carolyn D. Benally practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Carolyn D. Benally is 1215112909. The last update date is 2008-01-01.

Carolyn D. Benally's current location address is 1430 San Carlos Rd Sw, Albuquerque, New Mexico. You can contact this provider via phone number 5055531093. The mailing address for Carolyn D. Benally is 1430 San Carlos Rd Sw, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Carolyn D. Benally
Address 1430 San Carlos Rd Sw, Albuquerque, New Mexico
Phone Number 5055531093
Fax Number
Sole Proprietor Y
Credentials PTA

NPI Number Detail

NPI Number 1215112909
Provider Enumeration Date 2008-01-01
Last Updated Date 2008-01-01

Provider Mailing Address Detail

Address 1430 San Carlos Rd Sw
City Albuquerque
State New Mexico (NM)
Post Code 871041041
Phone Number 5055531093
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No A-0436
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A-0436 NM PT LICENSURE

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FAQs about Carolyn D. Benally

What is the unique provider identifier assigned to Carolyn D. Benally?

The Carolyn D. Benally has been issued the NPI (National Provider Identifier) 1215112909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Carolyn D. Benally is located?

The Carolyn D. Benally is situated at the following address: 1430 San Carlos Rd Sw, Albuquerque, NM, 871041041.

What is the Carolyn D. Benally's specialty and taxonomy code?

The Carolyn D. Benally's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.

On what date was the 1215112909 assigned to Carolyn D. Benally?

The Carolyn D. Benally was issued its 1215112909 on 2008-01-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Carolyn D. Benally's details last updated?

The information pertaining to the Carolyn D. Benally, including its address, specialty, and other details, was most recently updated on 2008-01-01.

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