Gabriela C Reyes, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Deming, NM

NPI 1134589815 · NPPES record last updated Feb 24, 2016

Key facts

NPI
1134589815
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
3135 (NM)
Practice address
1518 E. Birch St
Deming, NM 88030-7091
Phone
(575) 936-7294
NPI assigned
Feb 24, 2016
Sex
Female
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
3135NMMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3135 NM Yes

Addresses

Primary practice location

1518 E. Birch St
Deming, NM 88030-7091

Mailing address

1518 E Birch St
Deming, NM 88030-7091
Phone (575) 936-7294

Other providers in Deming, NM

All providers in Deming, NM · Occupational Therapy Assistant in New Mexico

Sources for this page

Verify at the official NPI Registry.