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Individual

AUDRA RUTH HENDRIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
3720 CHURCH ROCK ST, GALLUP, NM 87301-4572
(505) 722-2261
Mailing address
1080 CRAWFORD RD, WEST UNION, OH 45693-8949
(937) 217-0485

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4080
NM

Other

Enumeration date
03/01/2019
Last updated
03/01/2019
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