Healthcare Provider Details

I. General information

NPI: 1609045889
Provider Name (Legal Business Name): FRANCO JAMES PERRONE CNMT-LMT #4933
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: FRANCO JAMES PERRONE CNMT-LMT#4933

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 ACADEMY RD NE SUITE 313
ALBUQUERQUE NM
87111-1229
US

IV. Provider business mailing address

10400 ACADEMY RD NE SUITE 313
ALBUQUERQUE NM
87111-1229
US

V. Phone/Fax

Practice location:
  • Phone: 505-822-8440
  • Fax: 505-822-8460
Mailing address:
  • Phone: 505-822-8440
  • Fax: 505-822-8460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License NumberLMT#4933
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: