Individual
CAROL J. MOREHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
325 N BERGIN LN, BLOOMFIELD, NM 87413-6729
(505) 634-3946
(505) 634-3950
Mailing address
325 N BERGIN LN, BLOOMFIELD, NM 87413-6729
(505) 634-3946
(505) 634-3950
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2490
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64434826
—
NM
Enumeration date
08/26/2010
Last updated
08/26/2010
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