Individual
TERI MARIE GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
315 E CLINTON ST, HOBBS, NM 88240-8238
(505) 393-0755
(505) 393-0249
Mailing address
315 E CLINTON ST, HOBBS, NM 88240-8238
(505) 393-0755
(505) 393-0249
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
111498
TX
225X00000X
Occupational Therapist
Primary
1609
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000A3144
—
NM
Enumeration date
09/14/2007
Last updated
09/14/2007
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