Individual
ERIK RICHARD VILLESCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2628 MILAM ST, HUNTSVILLE, TX 77340-6615
(575) 805-7876
Mailing address
26565 US HIGHWAY 70 E, RUIDOSO DOWNS, NM 88346-9583
(575) 805-7876
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2825
NM
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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