State of New Mexico
NPI #1124180419 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1124180419
- Entity Type
- Organization
- Organization Name
- State of New Mexico
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Jun 2, 2009
Practice Location
- Address
- 3695 HOT SPRINGS BLVD
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-9549
- Phone
- (505) 454-2100
Authorized Official
- Name
- MR. CHARLES R. JARAMILLO
- Title
- FINANCE DIRECTOR
- Phone
- (505) 454-2306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
| Physical Therapy Assistant |
| Occupational Therapist |
| Audiologist |
| Physical Therapist |
Similar Providers
| Provider Name | |
|---|---|
| MRS. Roberta Albina Lucero, MPT ATC |  AI Deep Dive |
| Amanda Herrera | AI Deep Dive |
| DR. Rhonda Kay Stanley, PHYSICAL THERAPIST | AI Deep Dive |
| MS. Elizabeth Ackermann, PT | AI Deep Dive |
| Mark A Herrera, P.T. | AI Deep Dive |
Want to research this healthcare provider further?