Alice Gourd OT

NPI 1073666558 - Occupational Therapist - 225X00000X

NPI Details
NPI 1073666558
Gender Female
Enumeration Date 01/19/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
725 MISSION AVE NE
MISSION ES
ALBUQUERQUE NM, 87107-4909, US
Phone (505) 344-5269
Fax
Business Location
725 MISSION AVE NE
MISSION ES
ALBUQUERQUE NM, 87107-4909, US
Phone (505) 344-5269
Fax
Toxanomy
Taxonomy Code 225X00000X
License State New Mexico
License Number 1661
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According to our database, Alice Gourd OT NPI is 1073666558, taxonomy code is 225X00000X and license number is 1661, license state is located at New Mexico. Alice Gourd OT physically located at 725 Mission Ave Ne, Albuquerque NM, 87107-4909. NPI Number Alice Gourd OT has the Individual type.

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1073666558 NPI number is provided on an as is basis without warranty of any kind. 1073666558 is maintained by the National Plan & Provider Enumeration System. The contents of Alice Gourd OT are for informational purposes only.