Doctor Name: | MRS. JENNIFER ARCHULETA |
NPI Number: | 1174898241 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2625 |
Business Practice Address: | 3800 Singer Blvd Ne Albuquerque, NM - 871095868 |
Business Phone Number: | 5058588500 |
Business Fax Number: | 5058439475 |
Mailing Address: | 610 La Jolla Pl Ne, ALBUQUERQUE |
State: | NM |
Postal Code: | 871232410 |
Phone Number: | 5052800343 |
Fax Number: | 5053452197 |
NPI Enumeration Date: | 03/21/2012 |
NPI Last Update Date: | 03/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2625 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |