Individual
ELLEN COUSINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
826 CAMINO DEL MONTE REY, SUITE A2, SANTA FE, NM 87505-3977
(505) 954-9940
(505) 954-9946
Mailing address
1023 VALERIE CIR, SANTA FE, NM 87507-5054
(505) 603-5032
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3189
NM
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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