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Individual

MS. JOANNE HABELT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT OTR L

Contact information

Practice address
15 CAMINO VALLE VERDE, ALAMOGORDO, NM 88310-9309
(505) 491-5276
Mailing address
15 CAMINO VALLE VERDE, ALAMOGORDO, NM 88310-9309
(505) 491-5276

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1645
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1002711
NBCOT
01
1645
OT STATE LICENSE
NM
01
285549
LEVEL (3) K-12 OT LICENSE
NM
05
G5794
NM
Enumeration date
01/12/2007
Last updated
07/08/2007
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