Individual
DANIELLE JOY VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1515 E SANGER ST, HOBBS, NM 88240-4713
(575) 433-0100
Mailing address
PO BOX 1354, HOBBS, NM 88241-1354
(432) 212-1563
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-2023-0177
NM
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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