Individual
CONNIE GRANADO BEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L MA
Contact information
Practice address
4505 BALI CT NE, ALBUQUERQUE, NM 87111-2801
(505) 344-5470
Mailing address
7112 SEMINOLE RD NE, ALBUQUERQUE, NM 87110-2741
(505) 888-2434
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1731
NM
Other
Enumeration date
01/30/2007
Last updated
08/16/2010
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