Organization
CAMERON THERAPIES, LLC
Active
Parent organization
CAMERON THERAPIES, LLC
Other names
Cornerstone Therapies
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAMERON THERAPIES, LLC
Authorized official
MR. RUSSELL W CAMERON MPT (OWNER/SECRETARY)
(806) 928-2436
Entity
Organization
Contact information
Practice address
809 PARKLAND DR, CLOVIS, NM 88101-4474
(806) 928-2436
Mailing address
501 MONTICELLO PARKWAY DR, PORTALES, NM 88130-8200
(806) 928-2436
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
3292
NM
225XP0200X
Pediatric Occupational Therapist
1525
NM
235Z00000X
Speech-Language Pathologist
Primary
5169
NM
235Z00000X
Speech-Language Pathologist
5171
NM
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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