Individual
MRS. HOLLY LYNN CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
8820 HORIZON BLVD NE, ALBUQUERQUE, NM 87113-1689
(505) 798-7428
Mailing address
6805 GLENTURRET WAY NE, ALBUQUERQUE, NM 87113-2527
(505) 821-3940
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2277
NM
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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