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Organization

PROTHERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE ANN FORD OTR (DIRECTOR)
(505) 534-1280
Entity
Organization

Contact information

Practice address
1214 N BENNETT ST, SILVER CITY, NM 88061-6502
(505) 534-1280
Mailing address
1214 N BENNETT ST, SILVER CITY, NM 88061-6502
(505) 534-1280

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1422
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17955866
NM
Enumeration date
03/19/2007
Last updated
06/25/2008
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