Individual
JOHANNA CUBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3215 TILEY DR NE, ALBUQUERQUE, NM 87110-1743
(505) 573-3372
Mailing address
3215 TILEY DR NE, ALBUQUERQUE, NM 87110-1743
(505) 573-3372
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2175
NM
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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