Individual
KERRY ELIZABETH TRAUTWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-7800
Mailing address
1817 INDIANA ST NE, ALBUQUERQUE, NM 87110-6919
(505) 903-1279
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1665
NM
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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