Doctor Name: | MS. TALLETHEA R MOSE |
NPI Number: | 1386823797 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BACH. |
License Number: | 2752 |
Business Practice Address: | 301 S Auburn Ave Farmington, NM - 874015737 |
Business Phone Number: | 5055648563 |
Business Fax Number: | 5053273144 |
Mailing Address: | 301 S Auburn Ave, FARMINGTON |
State: | NM |
Postal Code: | 874015737 |
Phone Number: | 5055648563 |
Fax Number: | 5053273144 |
NPI Enumeration Date: | 11/01/2007 |
NPI Last Update Date: | 11/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2752 |
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 |