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NPI Code Detail

MEDICARE: CHRISTINA L TSOSIE

MEDICARE: CHRISTINA L TSOSIE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantA-0406NM

General Provider Information

NPI Number : 1558566539
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA L TSOSIE
Provider Business Mailing Address
First Line : PO BOX 1592
Second Line :
City : FRUITLAND
State : NM
Zip : 87416-1592
Country : US
Telephone Number : 505-215-0667
Fax Number :
Provider Business Practice Location Address
First Line : 800 SAGUARO TRL
Second Line :
City : FARMINGTON
State : NM
Zip : 87401-9632
Country : US
Telephone Number : 505-598-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 07/08/2007

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Directions to “ CHRISTINA L TSOSIE ” Practice Location

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