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AMY J LEAL PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1407384001
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
1604 W 18TH ST, PORTALES, NM, 881307097
Phone
(575) 359-4719

Specialties & Taxonomies

Physical Therapy Assistant Primary License: NM #A-1403

All Addresses

LOCATION

1604 W 18TH ST

PORTALES, NM, 881307097

(575) 359-4719

MAILING

1001 PECOS ST

CLOVIS, NM, 881015187

(575) 799-5375