Individual
RENEE A SODERLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAOTR/L
Contact information
Practice address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
(505) 454-2100
Mailing address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
(505) 454-2100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1756
NM
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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