Individual
MALACHI JACOBY SEGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3311 CANDELARIA RD NE STE E, ALBUQUERQUE, NM 87107-1952
(505) 200-9962
Mailing address
11317 BAJA DR NE, ALBUQUERQUE, NM 87111-2609
(505) 429-8841
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2023-0089
NM
Other
Enumeration date
07/12/2021
Last updated
10/07/2024
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