Individual
AMANDA LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5006 COPPER NE, EXPLOR ABILITIES, ALBUQUERQUE, NM 87108
(505) 268-7988
(505) 268-8021
Mailing address
6001 MOON ST NE, APT 1322, ALBUQUERQUE, NM 87111
(505) 797-5092
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2273
NM
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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