Organization
BACK IN ACTION THERAPY OF LAS CRUCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK HALLADAY (OWNER)
(575) 430-8648
Entity
Organization
Contact information
Practice address
4400 SONOMA RANCH BLVD, SUITE B, LAS CRUCES, NM 88011
(575) 222-0188
(575) 652-4142
Mailing address
4400 SONOMA RANCH BLVD, SUITE B, LAS CRUCES, NM 88011
(575) 222-0188
(575) 652-4142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/21/2020
Last updated
01/17/2023
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