Most Relevant Information
Provider Data
| NPI Number: | 1003363037 |
| Provider Name: | OLIVER C NUIQUE DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1275310 |
Most Important Dates
| Enumeration Date: | 09/07/2016 |
| Last Updated: | 12/29/2021 |
Provider Practice Location
2351 INDIAN WELLS RD
ALAMOGORDO
NM
883104607
Practice Location Phone/Fax
| Phone: | 5754373351 |
| Fax: | 5754372622 |
Provider Mailing Location
PO BOX 2860
ALAMOGORDO
NM
883112860
Provider Mailing Phone/Fax
| Phone: | 5754391397 |
| Fax: | 5754372622 |