NPI 1063135515

Brandon Gore

Practitioner Physical Therapy Assistant Rio Rancho, NM

Practice location

Address: 2401 Cabezon Blvd SE STE 102, Rio Rancho, NM 87124-1513
Phone: (505) 994-2599

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A-1326 (NM)

Other Physical Therapy Assistant providers in New Mexico →

Registry record

NPI: 1063135515
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2022
Record last updated: 20 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.