Individual
MARY P PESCHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5024 GALINA DR, LAS CRUCES, NM 88012-9499
(505) 317-1718
Mailing address
5024 GALINA DR, LAS CRUCES, NM 88012-9499
(505) 317-1718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1577
NM
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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