Samuel Joseph Limon, OTR

Individual provider Active NPI Occupational Therapist · Santa Clara, NM

NPI 1033314166 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1033314166
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1549 (NM)
Practice address
606 N. Bayard
Apt #3
Santa Clara, NM 88026-0122
Phone
(505) 537-3262
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1549NMMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1549 NM Yes

Addresses

Primary practice location

606 N. Bayard
Apt #3
Santa Clara, NM 88026-0122

Mailing address

PO Box 122
Santa Clara, NM 88026-0122
Phone (505) 537-3262

Other providers in Santa Clara, NM

All providers in Santa Clara, NM · Occupational Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.