Organization
EASI THERAPY & DIAGNOSTIC SERVICES INC.
Active
Other names
Educational Assessment Systems, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH LYNN MILLER EDS (CAO)
(505) 255-5099
Entity
Organization
Contact information
Practice address
5200 COPPER AVE NE, ALBUQUERQUE, NM 87108-1473
(505) 255-5099
(505) 255-4206
Mailing address
5200 COPPER AVE NE, ALBUQUERQUE, NM 87108-1473
(505) 255-5099
(505) 255-4206
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT0004990
NM
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D3604
—
NM
05
—
Z4215
—
NM
Enumeration date
07/08/2006
Last updated
09/28/2011
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