Individual
MR. JOHN L CARNAGEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
911B N CALIFORNIA ST, SOCORRO, NM 87801-4269
(575) 838-1000
Mailing address
614 LA MESA DR, SOCORRO, NM 87801-4626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2922
NM
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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