Doctor Name: | MR. RICHARD LAWRENCE SEABORN |
NPI Number: | 1760752570 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1260 |
Business Practice Address: | 4100 Sara Rd Se Presbyterian Intel Helath For Life Center Rio Rancho, NM - 871241025 |
Business Phone Number: | 5052537900 |
Business Fax Number: | 5058938000 |
Mailing Address: | Po Box 26666, Phs Provider Enrollment ALBUQUERQUE |
State: | NM |
Postal Code: | 871256666 |
Phone Number: | 5059236770 |
Fax Number: | 5059235354 |
NPI Enumeration Date: | 01/10/2012 |
NPI Last Update Date: | 03/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1260 |
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 |