Individual
ELIZABETH TALLARICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 LUJAN HILL RD, LAS CRUCES, NM 88007-6304
(575) 523-4573
Mailing address
PO BOX 651, ADAMSTOWN, PA 19501-0651
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-2024-0178
NM
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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