Priscila Carrasco
Individual provider Active NPI Occupational Therapy Assistant · Lovington, NM
NPI 1417622945 · NPPES record last updated Aug 16, 2021
Key facts
- NPI
- 1417622945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA3608 (NM)
- Practice address
- 1000 S 1St St
Lovington, NM 88260-4829 - Phone
- (575) 739-2670
- NPI assigned
- Aug 16, 2021
- 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 |
|---|---|---|---|
| OTA3608 | NM | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA3608 | NM | Yes |
Addresses
Primary practice location
1000 S 1St St
Lovington, NM 88260-4829
Mailing address
813 W Gore Ave
Lovington, NM 88260-2619
Phone (575) 631-8464
Other practice location 1
18 W Washington Ave
Lovington, NM 88260-4023
Phone (575) 631-8464
Other providers in Lovington, NM
- Grace Caltagirone
- Sara Lee Campbell
- Kayla Campos
- Mary Victoria Cansino
- Peter Earl Carmany
- Ronald Chad Carver
- Alex Marvin Charles Saldana
- Phyllis J Chester
- Elise Amy Cho Rice
- City of Lovington
All providers in Lovington, 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 Aug 16, 2021. 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.