Individual
MARY E MARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 325-2511
Mailing address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 325-2511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2041
NM
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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