Individual
THERESA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1080 MED PARK DR, LAS CRUCES, NM 88005-3226
(575) 523-7243
Mailing address
301 PERKINS DR STE C, LAS CRUCES, NM 88005-3248
(575) 523-7243
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3198
NM
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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