Victoria B Clements

Individual provider Active NPI Occupational Therapy Assistant · Lovington, NM

NPI 1558037655 · NPPES record last updated Aug 18, 2021

Key facts

NPI
1558037655
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA4444 (NM)
Practice address
700 W Jefferson Ave
Lovington, NM 88260-3317
Phone
(575) 910-7026
NPI assigned
Aug 18, 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

LicenseStateTypeSpecialty
OTA4444NMMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA4444 NM Yes

Addresses

Primary practice location

700 W Jefferson Ave
Lovington, NM 88260-3317

Mailing address

18 W Washington Ave
Lovington, NM 88260-4023

Other providers in Lovington, NM

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

Sources for this page

Verify at the official NPI Registry.