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Individual

MRS. AMELIE LYNNE HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
601 DR. MARTIN LUTHER KING JR. DRIVE, ALBUQUERQUE, NM 87102
(505) 727-8388
(505) 727-8895
Mailing address
54 CARLISLE RD, TIJERAS, NM 87059
(505) 286-7714

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2405
NM

Other

Enumeration date
11/09/2007
Last updated
11/09/2007
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