Individual
CAESAR MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
12555 STATE HIGHWAY 14 N, SANDIA PARK, NM 87047-9308
(505) 281-3931
Mailing address
12555 STATE HIGHWAY 14 N, SANDIA PARK, NM 87047-9308
(505) 281-3931
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1127
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q9545
—
NM
Enumeration date
04/02/2007
Last updated
07/09/2007
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