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Individual

TALIA HOUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
898 HWY 304, VEGUITA, NM 87062
(505) 966-2400
Mailing address
8205 PORTALES ST NE, ALBUQUERQUE, NM 87109-4955
(505) 263-0583

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3578
NM

Other

Enumeration date
09/23/2016
Last updated
09/23/2016
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