| Oasis Therapy, Llc | |
|
1520 Nm-94 Mora NM 87732 | |
| (505) 617-1180 | |
| Not Available |
| Full Name | Oasis Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1520 Nm-94, Mora, New Mexico |
| Authorized Official Name and Position | Deidra Cordova (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5056171180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Therapy, Llc Po Box 1051 Mora NM 87732-1051 Ph: (505) 617-1180 | Oasis Therapy, Llc 1520 Nm-94 Mora NM 87732 Ph: (505) 617-1180 |
| NPI Number | 1588239644 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 05/21/2021 |
| Certification Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588239644 | NPI | - | NPPES |
| 04458532 | Medicaid | NM | |
| 1851806525 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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