Individual
JOHN DOIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
306 E NIZHONI BLVD, GALLUP, NM 87301-5794
(505) 863-3907
Mailing address
12020 PACIFIC ST, OMAHA, NE 68154-3507
(800) 259-9897
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2814
NH
225X00000X
Occupational Therapist
Primary
4021
NM
Other
Enumeration date
10/15/2018
Last updated
11/27/2018
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