Individual
MR. MATTHEW P O'TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1202 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-8761
Mailing address
1202 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-8761
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4625
NM
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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