Organization
THERAPLAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KATHLEEN M TAYLOR OTR/L (OWNER/OPERATOR)
(505) 401-0429
Entity
Organization
Contact information
Practice address
63 FROST RD, SANDIA PARK, NM 87047-9409
(505) 401-0429
Mailing address
63 FROST RD, SANDIA PARK, NM 87047-9409
(505) 401-0429
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
182
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38350777
—
NM
Enumeration date
12/13/2011
Last updated
12/13/2011
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