Individual
MR. ANTHONY GUSTAMANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
701 UNSER BLVD SE STE 9, RIO RANCHO, NM 87124-6370
(505) 892-7733
(505) 892-9341
Mailing address
6239 SIERRA NEVADA CIR NW, ALBUQUERQUE, NM 87114
(505) 573-8105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4637
NM
Other
Enumeration date
01/22/2015
Last updated
09/06/2023
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