Cynthia Henry
Individual provider Active NPI Occupational Therapy Assistant · T Or C, NM
NPI 1407118151 · NPPES record last updated Jun 8, 2012
Key facts
- NPI
- 1407118151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2849 (NM)
- Practice address
- 1400 N Silver St
T Or C, NM 87901-1957 - Phone
- (575) 894-7855
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2849 | NM | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2849 | NM | Yes |
Addresses
Primary practice location
1400 N Silver St
T Or C, NM 87901-1957
Mailing address
1400 N Silver St
T Or C, NM 87901-1957
Other providers in T Or C, NM
- Deanne Fluitt
- Michele Foss
- Jordanna Leigh Gurule
- Klanese Krystal Hatley
- Hazen'S Mental Health
- Kimberly A Hill
- Joi Holsapple
- Jennifer Johnson
- Bradley Keffer
- Ruth M Legarda
All providers in T Or C, NM · Occupational Therapy Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.