| Mr Ettore Pittore, PT | |
|
2195 Bosque Farms Blvd, Bosque Farms, NM 87068-8941 | |
| (505) 916-0213 | |
| (505) 916-5063 |
| Full Name | Mr Ettore Pittore |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2195 Bosque Farms Blvd, Bosque Farms, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528380474 | NPI | - | NPPES |
| PT5194 | Other | NM | NM BOARD OF PHYSICAL THERAPY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 970 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ettore Pittore, PT 1200 Capitan St Nw, Los Lunas, NM 87031-6924 Ph: (304) 963-0324 | Mr Ettore Pittore, PT 2195 Bosque Farms Blvd, Bosque Farms, NM 87068-8941 Ph: (505) 916-0213 |
Bosque Therapy Center, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 980 Bosque Farms Blvd, Bosque Farms, NM 87068 Phone: 505-554-0052 Fax: 833-303-1343 | |
Myles Sandoval, Physical Therapist Medicare: Medicare Enrolled Practice Location: 980 Bosque Farms Blvd, Bosque Farms, NM 87068 Phone: 505-554-0052 |