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DANE PERSON

Physical Therapist

NPI: 1114139318IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

PT5374(NM)9366(NC)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2002

Contact & Hours

Address
310 CONTINENTAL DRIVE
JAL, NM 88252

Quick Facts

NPI
1114139318
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
24

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