Teresa L Bigelow, SPTA

Individual provider Active NPI Physical Therapy Assistant · Farmington, NM

NPI 1780959304 · NPPES record last updated Mar 14, 2012

Key facts

NPI
1780959304
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
4601 College Blvd
Farmington, NM 87402-4609
Phone
(505) 566-3198
NPI assigned
Mar 14, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

4601 College Blvd
Farmington, NM 87402-4609

Mailing address

3901 W Juniper Ave
Phoenix, AZ 85053-2711
Phone (651) 239-4063

Other providers in Farmington, NM

All providers in Farmington, NM · Physical Therapy Assistant in New Mexico

Sources for this page

Verify at the official NPI Registry.