Individual
MRS. LAUREN ELYSE COBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
4216 BALLOON PARK RD NE, ALBUQUERQUE, NM 87109-5801
(505) 344-5470
Mailing address
4216 BALLOON PARK RD NE, ALBUQUERQUE, NM 87109-5801
(505) 344-5470
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3011
NM
Other
Enumeration date
01/11/2013
Last updated
12/17/2013
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