MRS. Thea Carolyn Kavanaugh
NPI #1003635517 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1003635517
- Entity Type
- Individual
- Name
- MRS. Thea Carolyn Kavanaugh
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Recreation Therapist
- Enumeration Date
- Oct 10, 2024
- Last Updated
- Oct 10, 2024
Practice Location
- Address
- 4527 GALISTEO LOOP
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-4301
- Phone
- (575) 635-9013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Educator |
| Recreation Therapist |
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