Individual
LARRY MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2880 N ROADRUNNER PKWY, LAS CRUCES, NM 88011-0875
(575) 556-6110
Mailing address
2880 N ROADRUNNER PKWY, LAS CRUCES, NM 88011-0875
(575) 556-6110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2943
NM
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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