Individual
OLGA M. SACASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
535 US HIGHWAY 314, SW, LOS LUNAS, NM 87031
(505) 861-1200
(505) 861-1220
Mailing address
535 US HIGHWAY 314, SW, LOS LUNAS, NM 87031
(505) 861-1200
(505) 861-1220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2549
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Q0406
—
NM
01
—
1245380039
BERNALILLO FACILITY NPI
NM
01
—
1356491146
BELEN FACILITY NPI
NM
01
—
1386651412
LOS LUNAS FACILITY NPI
NM
01
—
2549
NM STATE LICENSE
NM
05
—
82487022
—
NM
01
—
P00348973
RAILROAD MEDICARE
NM
Enumeration date
07/13/2006
Last updated
05/18/2010
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