Organization
ABC PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA MARGARET HERRERA M.S., CCC-SLP (SPEECH PATHOLOGIST)
(505) 891-2590
Entity
Organization
Contact information
Practice address
3308 OASIS SPRINGS RD NE, RIO RANCHO, NM 87144-2579
(505) 891-2590
(505) 892-7359
Mailing address
3308 OASIS SPRINGS RD NE, RIO RANCHO, NM 87144-2579
(505) 980-3051
(505) 892-7359
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4246
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78682908
—
NM
Enumeration date
03/24/2010
Last updated
04/29/2019
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