Individual
C DAYNE SULTRMEIER WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
212 RANCHO ALONDRA, CORRALES, NM 87048-7921
(505) 897-8723
(505) 897-8723
Mailing address
PO BOX 416, CORRALES, NM 87048-0416
(505) 897-8723
(505) 897-8723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
820
NM
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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