NPI 1649639931

Ian Ricardo Gallegos, PTA

Practitioner Physical Therapy Assistant Roswell, NM

Practice location

Address: 3200 Mission Arch Dr, Roswell, NM 88201-8307
Phone: (575) 624-2583
Fax: (575) 623-8949

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1601 (NM)

Other Physical Therapy Assistant providers in New Mexico →

Registry record

NPI: 1649639931
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Feb 2016
Record last updated: 16 Feb 2016

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.