| Doctor Name: | MS. STELLA M AVENA |
| NPI Number: | 1346454832 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 011122 |
| Business Practice Address: | 3715 Southern Blvd Se Suite 1106 Rio Rancho, NM - 871242080 |
| Business Phone Number: | 5054626047 |
| Business Fax Number: | 2129531353 |
| Mailing Address: | 3715 Southern Blvd Se, RIO RANCHO |
| State: | NM |
| Postal Code: | 87124 |
| Phone Number: | 5054626047 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 011122 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| 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 |