Lazy River Therapy Services, LLC
NPI #1417430406 in Aztec, New Mexico
Provider Information
- NPI Number
- 1417430406
- Entity Type
- Organization
- Organization Name
- Lazy River Therapy Services, LLC
- Primary Specialty
- Clinic/Center - Hearing and Speech
- Enumeration Date
- Sep 14, 2018
- Last Updated
- Sep 14, 2018
Practice Location
- Address
- 3 ROAD 3660
- City
- Aztec
- State
- New Mexico
- ZIP Code
- 87410-9020
- Phone
- (505) 402-9561
Authorized Official
- Name
- LINDA JEAN CALKINS, MS/CCC
- Title
- SPEECH LANGUAGE PATHOLOGIST
- Phone
- (505) 402-9561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Hearing and Speech — Hearing and Speech |
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