Individual
MR. GARY M RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2009 BOTULPH RD, SUITE 200, SANTA FE, NM 87505-1107
(505) 986-2838
(505) 986-2839
Mailing address
2009 BOTULPH RD, SUITE 200, SANTA FE, NM 87505-1107
(505) 986-2838
(505) 986-2839
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
923
NM
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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