Individual
GABRIELA PAOLA VANWINGERDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 OURAY RD NW, ALBUQUERQUE, NM 87120
(505) 836-0023
Mailing address
118 POPLARVILLE DR., PIEDMONT, SC 29673-9844
(813) 451-0135
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
5850
SC
224Z00000X
Occupational Therapy Assistant
Primary
OT-2023-0141
NM
Other
Enumeration date
04/25/2023
Last updated
05/18/2023
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