Individual
ALYSSA D PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3815 OSUNA RD NE, ALBUQUERQUE, NM 87109-4430
(050) 550-5508
Mailing address
7700 LINCOLN AVE NE UNIT J4, RIO RANCHO, NM 87144-7678
(830) 279-2045
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2023-0170
NM
225XP0200X
Pediatric Occupational Therapist
20230170
NM
Other
Enumeration date
08/01/2023
Last updated
08/22/2024
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