Individual
MRS. VONDIE BURROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7427 VIA COMETA SW, ALBUQUERQUE, NM 87121-5138
(505) 459-8862
Mailing address
7427 VIA COMETA SW, ALBUQUERQUE, NM 87121-5138
(505) 459-8862
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1889
NM
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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