Individual
MR. DANIEL JOSEPH MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
8016 PETROGLYPH AVE NW, ALBUQUERQUE, NM 87120-6558
(505) 831-9040
Mailing address
8016 PETROGLYPH AVE NW, ALBUQUERQUE, NM 87120-6558
(505) 831-9040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1675
NM
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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