Individual
TAMARA BRENNO-URIBARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1501 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6731
(505) 823-4530
(505) 823-4538
Mailing address
1721 INEZ DR NE, ALBUQUERQUE, NM 87110-5529
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3708
NM
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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