Individual
SAMUEL JOSEPH LIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
606 N. BAYARD, APT #3, SANTA CLARA, NM 88026-0122
(505) 537-3262
Mailing address
PO BOX 122, SANTA CLARA, NM 88026-0122
(505) 537-3262
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1549
NM
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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