Individual
MRS. SALLIE ROXANNE ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
4308 CARLISLE BLVD NE, SUITE 209, ALBUQUERQUE, NM 87107-4856
(505) 828-0232
(505) 823-1051
Mailing address
11313 NASSAU DR NE, ALBUQUERQUE, NM 87111-2656
(505) 294-0134
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
446
NM
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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