Individual
DENISE KRISTEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8820 HORIZON BLVD NE, ALBUQUERQUE, NM 87113-1689
(505) 998-1551
Mailing address
1813 TERRA DE SOL DR SE, RIO RANCHO, NM 87124-8864
(505) 514-5097
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3373
NM
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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