MEDICARE: EXPLORABILITIES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	225100000X	Physical Therapist
3	225X00000X	Occupational Therapist
4	235Z00000X	Speech-Language Pathologist
5	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346210473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPLORABILITIES INC

Provider Business Mailing Address
First Line	:	5006 COPPER AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-1301
Country	:	US
Telephone Number	:	505-268-7988
Fax Number	:	505-268-8021

Provider Business Practice Location Address
First Line	:	5006 COPPER AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-1301
Country	:	US
Telephone Number	:	505-268-7988
Fax Number	:	505-268-8021

Authorized Official
Title or Position	:	CO-OWNER
Name	:	KATE D ROGERS
Credential	:	LPCC
Telephone Number	:	505-268-7988

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	10/02/2020

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Directions to “EXPLORABILITIES INC ” Practice Location

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