Provider Demographics
NPI:1316668890
Name:BISOFFI-HARRIS, FIONA CESARINA
Entity type:Individual
Prefix:
First Name:FIONA
Middle Name:CESARINA
Last Name:BISOFFI-HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12909 JOELLE RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-6806
Mailing Address - Country:US
Mailing Address - Phone:505-803-1918
Mailing Address - Fax:
Practice Address - Street 1:6400 JEFFERSON ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3470
Practice Address - Country:US
Practice Address - Phone:505-344-2922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-05
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic