Individual
MS. JOANNE ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
806 W MAPLE ST, FARMINGTON, NM 87401-5631
(505) 325-2910
(505) 325-0191
Mailing address
1612 S. SANTA CRUZ ST., DEMING, NM 88030-0000
(515) 545-3831
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2700
NM
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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