Individual
SUSAN GILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 EUBANK BLVD NE, UNIT 9B, ALBUQUERQUE, NM 87111-4846
(505) 620-3976
(505) 923-4850
Mailing address
3600 EUBANK BLVD NE, UNIT 9B, ALBUQUERQUE, NM 87111-4846
(505) 620-3976
(505) 923-4850
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1587
NM
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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