Individual
MRS. OLGA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
801 W CHAMP CLARK AVE, ARTESIA, NM 88210-1219
(575) 746-2777
Mailing address
801 W CHAMP CLARK AVE, ARTESIA, NM 88210-1219
(575) 746-2777
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1015
NM
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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