Organization
PRO SOCIAL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE MITCHELL OTR/L (ADMINISTRATOR)
(505) 521-0192
Entity
Organization
Contact information
Practice address
7517 DEERFIELD RD NW, ALBUQUERQUE, NM 87120-4532
(541) 525-6463
Mailing address
7517 DEERFIELD RD NW, ALBUQUERQUE, NM 87120-4532
(541) 525-6463
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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