Organization
TAL THERAPIES LLC
Active
Other names
Harvest Moon Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA ANN LIFVERGREN OTL/R (OWNER/ OCCUPATIONAL THERAPIST)
(575) 770-5360
Entity
Organization
Contact information
Practice address
150 S SAINT FRANCIS DR, SANTA FE, NM 87501-2445
(575) 770-5836
(505) 982-0732
Mailing address
238 AMBROSIO ST APT 1, SANTA FE, NM 87501-2868
(575) 770-5836
(505) 982-0732
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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