Individual
MRS. SUSAN ANNE RATHBUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LASER DR NE, RIO RANCHO, NM 87124-4517
(505) 896-0667
Mailing address
8101 RANCHO CIELO NW, ALBUQUERQUE, NM 87120-1429
(505) 899-4632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
078
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00071045
—
NM
Enumeration date
03/22/2007
Last updated
07/08/2007
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