Organization
BACK IN ACTION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LERIEN KAY HOYT (OWNER)
(575) 439-9878
Entity
Organization
Contact information
Practice address
1011 10TH ST # A, ALAMOGORDO, NM 88310-6425
(575) 439-9878
Mailing address
PO BOX 2431, ALAMOGORDO, NM 88311-2431
(575) 439-9878
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2081
NM
225100000X
Physical Therapist
Primary
1734
NM
225100000X
Physical Therapist
306
NM
235Z00000X
Speech-Language Pathologist
1212
NM
332B00000X
Durable Medical Equipment & Medical Supplies
2081
NM
Other
Enumeration date
11/28/2006
Last updated
02/12/2009
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