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Organization
PAINTED SKY THERAPY LLC
Active
Organization
PAINTED SKY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEBE MAKENA OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(575) 779-5319
Entity
Organization
Contact information
Practice address
428 THEODORA ST, TAOS, NM 87571-6396
(575) 779-5319
Mailing address
1103 PASEO DEL PUEBLO NORTE # 114, EL PRADO, NM 87529-7539
(575) 779-5319
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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