Individual
ELIZABETH A. DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR, L
Contact information
Practice address
3815 OSUNA RD NE, ALBUQUERQUE, NM 87109-4430
(505) 508-0505
(505) 312-8414
Mailing address
7 WYLIE LN, SANDIA PARK, NM 87047-7913
(505) 508-0505
(505) 312-8414
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT-2024-0084
NM
225XP0200X
Pediatric Occupational Therapist
Primary
OT423
NM
Other
Enumeration date
10/29/2005
Last updated
10/31/2025
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