Individual
GABRIEL RYAN HERNANDEZ CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
6911 TAYLOR RANCH RD NW STE C2, ALBUQUERQUE, NM 87120-2962
(505) 508-3497
Mailing address
6911 TAYLOR RANCH RD NW STE C2, ALBUQUERQUE, NM 87120-2962
(505) 508-3497
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4433
NM
Other
Enumeration date
03/04/2021
Last updated
04/17/2025
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