| Four Point Therapy, Llc | |
|
173 El Camino Campo Corrales NM 87048-7518 | |
| (505) 890-4117 | |
| (505) 890-8345 |
| Full Name | Four Point Therapy, Llc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 173 El Camino Campo, Corrales, New Mexico |
| Authorized Official Name and Position | Debora A Lanphere (OCCUPATIONAL THERAPIST/OWNER) |
| Authorized Official Contact | 5057107668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Point Therapy, Llc 173 El Camino Campo Corrales NM 87048-7518 Ph: (505) 890-4117 | Four Point Therapy, Llc 173 El Camino Campo Corrales NM 87048-7518 Ph: (505) 890-4117 |
| NPI Number | 1356668990 |
|---|---|
| Provider Enumeration Date | 04/21/2010 |
| Last Update Date | 12/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356668990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1591 (New Mexico) | Secondary |
| 225X00000X | Occupational Therapist | 1591 (New Mexico) | Primary |
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