Provider Demographics
NPI:1609045889
Name:PERRONE, FRANCO JAMES (CNMT-LMT #4933)
Entity Type:Individual
Prefix:
First Name:FRANCO
Middle Name:JAMES
Last Name:PERRONE
Suffix:
Gender:M
Credentials:CNMT-LMT #4933
Other - Prefix:MR
Other - First Name:FRANCO
Other - Middle Name:JAMES
Other - Last Name:PERRONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNMT-LMT#4933
Mailing Address - Street 1:10400 ACADEMY RD NE
Mailing Address - Street 2:SUITE 313
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-1229
Mailing Address - Country:US
Mailing Address - Phone:505-822-8440
Mailing Address - Fax:505-822-8460
Practice Address - Street 1:10400 ACADEMY RD NE
Practice Address - Street 2:SUITE 313
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-1229
Practice Address - Country:US
Practice Address - Phone:505-822-8440
Practice Address - Fax:505-822-8460
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMLMT#4933172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM5058228440OtherWORKMAN COMPENSATION