NPI 1275174658
Sm Gantz OT Services
Practice location
- Address
- 1485 N Main St STE a, Las Cruces, NM 88001-1182
- Phone
- (575) 288-1969
- Fax
- (575) 532-9539
- Mailing address
- PO Box 13907, Las Cruces, NM 88013-3907
Authorised official
- Name
- Bryan Keith Gantz
- Title
- Guardian/Owner
- Phone
- (575) 312-0120
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1275174658
- Entity type
- Organization
- NPI issued
- 7 Oct 2019
- Record last updated
- 21 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.