Individual
VIRGINIA R FRETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRN
Contact information
Practice address
786A N SAINT FRANCIS DR, SANTA FE, NM 87501-5100
(505) 984-2032
(505) 984-0738
Mailing address
223 N GUADALUPE ST # 223, SANTA FE, NM 87501-1850
(505) 920-9969
(505) 984-0738
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1643
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1643
STATE OF NM REG & LIC
NM
Enumeration date
07/29/2005
Last updated
07/08/2007
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