Individual
JOANN RENE GROBECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8304 MESA TOP RD NW, ALBUQUERQUE, NM 87120-3779
(505) 459-2934
(505) 343-1363
Mailing address
8304 MESA TOP RD NW, ALBUQUERQUE, NM 87120-3779
(505) 459-2934
(505) 343-1363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1778
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4268352
—
NM
Enumeration date
01/22/2007
Last updated
03/31/2008
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