Whalio Doctors

NPI 1275174658

Sm Gantz OT Services

Organisation Case Management Agency Las Cruces, NM

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
Agencies Taxonomy 251B00000X

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.