Individual
GEORGIANA APODACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
122 S GOLD AVE STE A, DEMING, NM 88030-3755
(575) 283-0200
(575) 283-0238
Mailing address
122 S GOLD AVE STE A, DEMING, NM 88030-3755
(575) 283-0200
(575) 283-0238
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3692
NM
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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