Provider Demographics
NPI:1053521070
Name:RABON, PAIGE ANNE (MT-BC, NMT)
Entity type:Individual
Prefix:MS
First Name:PAIGE
Middle Name:ANNE
Last Name:RABON
Suffix:
Gender:F
Credentials:MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 LA MELODIA DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-7047
Mailing Address - Country:US
Mailing Address - Phone:972-623-7515
Mailing Address - Fax:
Practice Address - Street 1:516 LA MELODIA DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-7047
Practice Address - Country:US
Practice Address - Phone:972-623-7515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist