Shelby R Tarango, OT | |
173 El Camino Campo, Corrales, NM 87048-7518 | |
(719) 289-5766 | |
Not Available |
Full Name | Shelby R Tarango |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 173 El Camino Campo, Corrales, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366944266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 3872 (New Mexico) | Primary |
Provider Name | Sentry Safety And Physical Therapy Specialists Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619349743 PECOS PAC ID: 2264730860 Enrollment ID: O20160415000064 |
Mailing Address | Practice Location Address |
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Shelby R Tarango, OT 3915 Tundra Swan Ct Nw, Albuquerque, NM 87120-4113 Ph: () - | Shelby R Tarango, OT 173 El Camino Campo, Corrales, NM 87048-7518 Ph: (719) 289-5766 |
Four Point Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 173 El Camino Campo, Corrales, NM 87048 Phone: 505-890-4117 Fax: 505-890-8345 | |
C Dayne Sultrmeier Williams, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 Rancho Alondra, Corrales, NM 87048 Phone: 505-897-8723 Fax: 505-897-8723 | |
Mrs. Debora A Lanphere, OTR.L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 173 El Camino Campo, Corrales, NM 87048 Phone: 505-710-7668 Fax: 505-890-8345 | |
Mrs. Glenda Marie Moore, O. T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 371 Sereno Rd, Corrales, NM 87048 Phone: 505-352-7391 Fax: 505-352-7391 | |
Robert Daryl Hobbs, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Rome Ln, Corrales, NM 87048 Phone: 505-265-4906 Fax: 505-265-9146 | |
Mr. Eric Cessna Lanphere, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 173 El Camino Campo, Corrales, NM 87048 Phone: 505-890-4117 Fax: 505-890-8345 |