Individual
ALYSE HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR-L
Contact information
Practice address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5823
(575) 527-5886
Mailing address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5823
(575) 527-5886
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3661
NM
225XP0200X
Pediatric Occupational Therapist
3661
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10171568
—
NM
01
—
326556
MEDICARE
NM
Enumeration date
02/21/2017
Last updated
08/11/2021
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