Organization
MOSAIC REMEDIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA MARIE COLONNA OTR/L (OCCUPATIONAL THERAPIST)
(562) 208-1980
Entity
Organization
Contact information
Practice address
752 DIANE AVE, LAS VEGAS, NM 87701-4910
(562) 208-1980
Mailing address
752 DIANE AVE, LAS VEGAS, NM 87701-4910
(562) 208-1980
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02021976
—
NM
Enumeration date
05/08/2026
Last updated
05/08/2026
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