Organization
FOUR POINT THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORA A LANPHERE (OCCUPATIONAL THERAPIST/OWNER)
(505) 710-7668
Entity
Organization
Contact information
Practice address
173 EL CAMINO CAMPO, CORRALES, NM 87048-7518
(505) 890-4117
(505) 890-8345
Mailing address
173 EL CAMINO CAMPO, CORRALES, NM 87048-7518
(505) 890-4117
(505) 890-8345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1591
NM
261Q00000X
Clinic/Center
1591
NM
Other
Enumeration date
04/21/2010
Last updated
12/06/2010
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