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NPI Code Detail

MEDICARE: REBECCA SALAS

MEDICARE: REBECCA SALAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant2757NM

General Provider Information

NPI Number : 1730549742
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA SALAS
Provider Business Mailing Address
First Line : 7529 SIERRA BELLA PL
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-0765
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7529 SIERRA BELLA PL
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-0765
Country : US
Telephone Number : 575-343-5813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2016
Last Update Date : 03/03/2016

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Directions to “ REBECCA SALAS ” Practice Location

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