Individual
MS. ABIGAIL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
2025 GALISTEO ST, SANTA FE, NM 87505-2101
(505) 995-4901
(505) 989-6483
Mailing address
455 SAINT MICHAELS DR, PHYSICIAN PRACTICES, SANTA FE, NM 87505-7601
(505) 820-5227
(505) 913-6627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2475
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2475
NM LICENSE
NM
Enumeration date
07/14/2009
Last updated
07/28/2009
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