Individual
BRIAN A SUAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
5123 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-2672
(505) 292-3333
(505) 271-1881
Mailing address
7220 CENTRAL AVE SE, APT #1194, ALBUQUERQUE, NM 87108-2072
(505) 264-9578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3240
NM
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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