Healthcare Provider Details

I. General information

NPI: 1407074990
Provider Name (Legal Business Name): FRANCESCA R OROFINO RPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 09/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 ST MICHAELS DR A-201
SANTA FE NM
87505
US

IV. Provider business mailing address

1350 CENTRAL AVE #105
LOS ALAMOS NM
87544
US

V. Phone/Fax

Practice location:
  • Phone: 505-982-5629
  • Fax: 505-988-1106
Mailing address:
  • Phone: 505-662-3384
  • Fax: 505-661-0085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1042
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number902
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: