Individual
COLLEEN KELLY BEDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8000
Mailing address
27 HARLOW DR, NEWINGTON, CT 06111-3214
(860) 836-6493
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2858
NM
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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