Provider Demographics
NPI:1134169659
Name:BARLOW, TANYA LYNN (PT, MS)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:LYNN
Last Name:BARLOW
Suffix:
Gender:F
Credentials:PT, MS
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Mailing Address - Street 1:158 WILLIE HORTON DR
Mailing Address - Street 2:
Mailing Address - City:RUIDOSO
Mailing Address - State:NM
Mailing Address - Zip Code:88345-7708
Mailing Address - Country:US
Mailing Address - Phone:505-258-3331
Mailing Address - Fax:
Practice Address - Street 1:439 MECHEM DR
Practice Address - Street 2:
Practice Address - City:RUIDOSO
Practice Address - State:NM
Practice Address - Zip Code:88345-6813
Practice Address - Country:US
Practice Address - Phone:505-257-1800
Practice Address - Fax:505-257-2319
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM3138208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation