Individual
GWEN CASSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
24 MOUNTAINEER RD, RESERVE, NM 87830
(505) 533-6242
Mailing address
PO BOX 3043, SILVER CITY, NM 88062-3043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
716
NM
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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