Individual
DANNIELLE SUZETTE REISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 BUENA VISTA SE, ALBUQUERQUE, NM 87125-6666
(651) 267-3523
Mailing address
5428 WILCLARK RD, CLOVIS, NM 88101-2008
(505) 923-5322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
05/06/2014
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