Individual
JANICE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12415 BRENTWOOD HILLS BLVD NE, ONATE ES, ALBUQUERQUE, NM 87112-3611
(505) 291-6819
Mailing address
12415 BRENTWOOD HILLS BLVD NE, ONATE ES, ALBUQUERQUE, NM 87112-3611
(505) 291-6819
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
384
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J 5097
—
NM
Enumeration date
04/13/2007
Last updated
07/09/2007
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