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Individual

LEE ANNE KLOMBIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5200 COPPER AVE NE, ALBUQUERQUE, NM 87108-1473
(505) 255-5099
Mailing address
8932 ASHTON LOOP NE, ALBUQUERQUE, NM 87122-2960
(505) 235-0388

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1356
NM
225X00000X
Occupational Therapist
Primary
OT1356
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06437541
NM
Enumeration date
09/27/2006
Last updated
12/23/2020
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