Provider Demographics
NPI:1316368681
Name:SM OT RESOURCES LLC
Entity Type:Organization
Organization Name:SM OT RESOURCES LLC
Other - Org Name:OT FOR TOTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MONTERO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:915-873-1648
Mailing Address - Street 1:1540 N ZARAGOZA RD
Mailing Address - Street 2:SUITE A-12
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-7905
Mailing Address - Country:US
Mailing Address - Phone:915-921-6881
Mailing Address - Fax:915-921-6882
Practice Address - Street 1:1540 N ZARAGOZA RD
Practice Address - Street 2:SUITE A-12
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7905
Practice Address - Country:US
Practice Address - Phone:915-921-6881
Practice Address - Fax:915-921-6882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-03
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty