Individual
MICHAEL MCCAGUE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1090 MED PARK DR., LAS CRUCES, NM 88005-3236
(575) 523-7243
Mailing address
2409 PINE HOLLOW CT, LAS CRUCES, NM 88007-5572
(575) 636-9003
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
784
NM
225XG0600X
Gerontology Occupational Therapist
Primary
OT784
NM
Other
Enumeration date
02/11/2016
Last updated
04/01/2022
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