Individual
SHERRY LEE LOVELACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2300 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1851
(505) 272-3000
Mailing address
8204 SARAH CT NW, ALBUQUERQUE, NM 87114-1005
(505) 268-8493
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
128
NM
225X00000X
Occupational Therapist
128
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85788244
—
NM
Enumeration date
09/27/2006
Last updated
02/16/2010
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