Individual
LISA A EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4411 MONTANO RD NW, SUITE F, ALBUQUERQUE, NM 87120-3235
(505) 898-8300
(505) 898-8313
Mailing address
4411 MONTANO RD NW, SUITE F, ALBUQUERQUE, NM 87120-3235
(505) 898-8300
(505) 898-8313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1926
NM
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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