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Contact Information

NOURISH PEDIATRIC THERAPIES LLC
2616 MCEARL AVE SE
ALBUQUERQUE, NM87106-3007
 Phone: 505-506-3329
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Feeding, Eating & Swallowing

225XF0002X 67 Occupational Therapist in Private Practice
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for NOURISH PEDIATRIC THERAPIES LLC · (Female)

NPI Number 1497410237
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2021
Last updated 11/15/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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