Individual
NICOLE K CRAVOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
1601 PENNSYLVANIA ST NE UNIT A07, ALBUQUERQUE, NM 87110-5504
(234) 806-1046
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
12260
NC
224Z00000X
Occupational Therapy Assistant
OTA. 3104
OH
224Z00000X
Occupational Therapy Assistant
Primary
OTA4360
NM
Other
Enumeration date
10/07/2011
Last updated
09/24/2020
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