Organization
THRIVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA BLYZE (CREDENTIALLING MANAGER)
(575) 291-9659
Entity
Organization
Contact information
Practice address
107 YUCCA DR, PORTALES, NM 88130-7126
(575) 749-4348
Mailing address
107 YUCCA DR, PORTALES, NM 88130-7126
(575) 749-4348
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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