Organization
OWL-CUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MILLER MOTR/L (OWNER)
(505) 304-9109
Entity
Organization
Contact information
Practice address
617 EDITH BLVD NE APT 3, ALBUQUERQUE, NM 87102-2535
(505) 304-9109
Mailing address
617 EDITH BLVD NE APT 3, ALBUQUERQUE, NM 87102-2535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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