Individual
CYNTHIA W KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1118 9TH ST, LAS VEGAS, NM 87701-4037
(505) 426-7466
Mailing address
131 SERENO DR, SANTA FE, NM 87501-1533
(505) 577-8718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2294
NM
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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