Individual
MRS. LINDA LEA ELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L, DSII
Contact information
Practice address
916 TULIP RD SE, RIO RANCHO, NM 87124-3858
(505) 896-8095
Mailing address
916 TULIP RD SE, RIO RANCHO, NM 87124-3858
(505) 896-8095
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1035
NM
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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