Organization
FUNCTION THERAPY SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOEL GONZALEZ MOT, CHT (OWNER, OCCUPATIONAL THERAPIST)
(915) 433-3100
Entity
Organization
Contact information
Practice address
2550 SAMARITAN DR STE 101A, LAS CRUCES, NM 88001-1170
(575) 592-2088
(575) 592-2226
Mailing address
2550 SAMARITAN DR STE 101A, LAS CRUCES, NM 88001-1170
(575) 592-2088
(575) 592-2226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
08/20/2021
Last updated
09/15/2022
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