| Nicole Marie Desouchet, DPT | |
|
204a W Broadway Ave, Bloomfield, NM 87413-5903 | |
| (505) 333-7217 | |
| (505) 333-7096 |
| Full Name | Nicole Marie Desouchet |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 204a W Broadway Ave, Bloomfield, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447739156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT5349 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Desouchet, DPT 204a W Broadway Ave, Bloomfield, NM 87413-5903 Ph: (505) 333-7217 | Nicole Marie Desouchet, DPT 204a W Broadway Ave, Bloomfield, NM 87413-5903 Ph: (505) 333-7217 |
Victoria D. Coe, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 N Bergin Ln, Bloomfield, NM 87413 Phone: 505-634-3619 Fax: 505-634-3675 | |
Douglas K Harris, M.S., P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 803 Hacienda Ln, Bloomfield, NM 87413 Phone: 505-632-1823 | |
Michael Kurita, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 204a W Broadway Ave, Bloomfield, NM 87413 Phone: 505-333-7217 | |
Mrs. Jere Nell Tyler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 82 Road 5151, Bloomfield, NM 87413 Phone: 505-330-9884 |