MEDICARE: LINDA TERRAZAS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225C00000X	Rehabilitation Counselor
2	225CA2400X	Assistive Technology Practitioner Rehabilitation Counselor
3	225CA2500X	Assistive Technology Supplier Rehabilitation Counselor
4	225CX0006X	Orientation and Mobility Training Rehabilitation Counselor

General Provider Information

NPI Number	:	1972982403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA TERRAZAS

Provider Business Mailing Address
First Line	:	9550 W SAHARA AVE APT 1006
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5374
Country	:	US
Telephone Number	:	480-302-1780
Fax Number	:

Provider Business Practice Location Address
First Line	:	9550 W SAHARA AVE APT 1006
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5374
Country	:	US
Telephone Number	:	480-302-1780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2015
Last Update Date	:	05/29/2015

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Directions to “ LINDA TERRAZAS ” Practice Location

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