Organization
LAZY RIVER THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA JEAN CALKINS MS/CCC (SPEECH LANGUAGE PATHOLOGIST)
(505) 402-9561
Entity
Organization
Contact information
Practice address
3 ROAD 3660, AZTEC, NM 87410-9020
(505) 402-9561
Mailing address
3 ROAD 3660, AZTEC, NM 87410-9020
(505) 402-9561
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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