Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREEBORN MONDELLO
Active Sole ProprietorFREEBORN MONDELLO is a Physical Therapy Assistant healthcare provider located in SILVER CITY, New Mexico. NPI 1790187631 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SILVER CITY, NM
Registration Details
- NPI Number
- 1790187631
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2014 (11.903904386686 yrs)
- Last Updated
- Sep 23, 2014
- Licenses
-
12654 (CO)4487 (NM)21351 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 MEADOW HAWK LNSILVER CITY, NM, 880229727Browse NM providers · Browse ZIP 88022
- Phone
- 5419518170
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in SILVER CITY, NM
| Name | Credential | NPI |
|---|---|---|
| MR. PEDRO INIGUEZ | MSPT | 1255392940 |
| SUZANNE THOMAS GRAVES | MPT | 1700967247 |
| MR. ZACHARY P MEAD | M.S., P.T. | 1396826103 |
| MONICA J. ROSSON | P.T. | 1457476152 |
| SALLY JEAN FITZGERALD | RPT | 1255539565 |
| MRS. MARY GRACE SINCHIOCO MADURO | — | 1538331772 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.