Audrey Susan Petzold OTR/L

NPI 1700218526 - Occupational Therapist - 225X00000X

NPI Details
NPI 1700218526
Gender Female
Enumeration Date 08/02/2013
Last Updated 08/02/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
32 CUCHILLA DE LUPE RD
PLACITAS NM, 87043-8716, US
Phone (505) 867-5203
Fax
Business Location
32 CUCHILLA DE LUPE RD
PLACITAS NM, 87043-8716, US
Phone (505) 867-5203
Fax
Toxanomy
Taxonomy Code 225X00000X
License State New Mexico
License Number 1181
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According to our database, Ms. Audrey Susan Petzold OTR/L NPI is 1700218526, taxonomy code is 225X00000X and license number is 1181, license state is located at New Mexico. Audrey Susan Petzold OTR/L physically located at 32 Cuchilla De Lupe Rd, Placitas NM, 87043-8716. NPI Number Audrey Susan Petzold OTR/L has the Individual type.

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1700218526 NPI number is provided on an as is basis without warranty of any kind. 1700218526 is maintained by the National Plan & Provider Enumeration System. The contents of Audrey Susan Petzold OTR/L are for informational purposes only.