Individual
CYNTHIA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N SILVER ST, T OR C, NM 87901-1957
(575) 894-7855
Mailing address
1400 N SILVER ST, T OR C, NM 87901-1957
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2849
NM
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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