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Individual

GABRIELA C REYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1518 E. BIRCH ST, DEMING, NM 88030-7091
(575) 936-7294
Mailing address
1518 E BIRCH ST, DEMING, NM 88030-7091
(575) 936-7294

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3135
NM

Other

Enumeration date
02/24/2016
Last updated
02/24/2016
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