Organization
CASITA ALEGRA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDE A SCHUSTER MSCCCSLP (MEMBER)
(505) 445-5184
Entity
Organization
Contact information
Practice address
1210 N 1ST ST, RATON, NM 87740-3500
(505) 445-5184
Mailing address
1210 N 1ST ST, RATON, NM 87740-3500
(575) 445-5184
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2268
NM
225X00000X
Occupational Therapist
Primary
2329
NM
235Z00000X
Speech-Language Pathologist
585
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03113629000
NM CRS
NM
Enumeration date
09/01/2007
Last updated
09/20/2008
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