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NPI Code Detail

MEDICARE: SIERRA SPIKES

MEDICARE: SIERRA SPIKES
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 Therapist117998TX

General Provider Information

NPI Number : 1972043313
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA SPIKES
Provider Business Mailing Address
First Line : 2729 PORTER AVE
Second Line :
City : EL PASO
State : TX
Zip : 79930-3625
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2729 PORTER AVE
Second Line :
City : EL PASO
State : TX
Zip : 79930-3625
Country : US
Telephone Number : 915-562-6611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2017
Last Update Date : 03/05/2017

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Directions to “ SIERRA SPIKES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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