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Individual

CHRISTINA MAGNUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2422 E. HIGHWAY 333, MORIARTY, NM 87035
(505) 832-4471
(505) 832-4472
Mailing address
PO BOX 2000, MORIARTY, NM 87035-2000
(505) 832-4471
(505) 832-4472

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
102743
TX
225XP0200X
Pediatric Occupational Therapist
Primary
OT-2023-0133
NM

Other

Enumeration date
06/21/2019
Last updated
08/29/2023
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