Individual
JOAN HENRIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
801 STEPHEN MOODY ST SE, ALBUQUERQUE, NM 87123-1994
(505) 271-3060
Mailing address
1900 N WHITE SANDS BLVD, ALAMOGORDO, NM 88310-6246
(800) 437-3505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3494
NM
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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