Mr. MICHAEL E KOVACH III
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1902093271- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4210 SABANA GRANDE AVE SE, RIO RANCHO, NM, 871241152
- Phone
- (505) 896-0928
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: NM #A-0514