Organization
ACHIEVE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUDIVINA OPHELIA GURULE MOTR-L (OWNER)
(575) 317-3213
Entity
Organization
Contact information
Practice address
1102 LE ANN DR, ROSWELL, NM 88201-1061
(575) 317-3213
Mailing address
1102 LE ANN DR, ROSWELL, NM 88201-1061
(575) 317-3213
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
2481
NM
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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