Most Relevant Information
Provider Data
| NPI Number: | 1003025164 |
| Provider Name: | REBECCA A VIDOS-ROLAND P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 2894 |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 10/26/2016 |
Provider Practice Location
4600 MONTGOMERY BLVD NE
ALBUQUERQUE
NM
871091210
Practice Location Phone/Fax
| Phone: | 5053436328 |
| Fax: | 5057279515 |
Provider Mailing Location
4600 MONTGOMERY BLVD NE
ALBUQUERQUE
NM
871091210
Provider Mailing Phone/Fax
| Phone: | 5053436328 |
| Fax: | 5057279515 |