Individual
MELINDA DAWN BERNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
38 ANAYA RD, BELEN, NM 87002-7569
(505) 864-7812
(505) 864-7812
Mailing address
38 ANAYA RD, BELEN, NM 87002-7569
(505) 864-7812
(505) 864-7812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
846
NM
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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