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NPI Code Detail

MEDICARE: MS. JANEEN ESTRADA OTR

MEDICARE: MS. JANEEN ESTRADA OTR
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
1225X00000XOccupational Therapist1846NM

Other Identifiers

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

General Provider Information

NPI Number : 1871621524
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANEEN ESTRADA OTR
Provider Business Mailing Address
First Line : 1350 HILLRISE CIR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4759
Country : US
Telephone Number : 575-522-9528
Fax Number :
Provider Business Practice Location Address
First Line : 1350 HILLRISE CIR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4759
Country : US
Telephone Number : 575-522-9528
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 05/10/2018

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Directions to “ MS. JANEEN ESTRADA OTR” Practice Location

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