Individual
LISA MARIE ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1400 N SILVER ST, TRUTH OR CONSEQUENCES, NM 87901-1957
(575) 894-7855
Mailing address
111 E ELM ST, DEMING, NM 88030-4149
(575) 936-9692
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3540
NM
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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