Individual
AUDREY LYNN PADILLA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5006 COPPER AVE NE, ALBUQUERQUE, NM 87108-1301
(505) 268-7988
Mailing address
10438 CUEVA DEL OSO NE, ALBUQUERQUE, NM 87111-3765
(505) 934-5096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2281
NM
Other
Enumeration date
10/18/2007
Last updated
12/01/2023
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