Individual
GIA MELISSA FARGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L, CNS
Contact information
Practice address
621 W ALAMEDA ST APT A, SANTA FE, NM 87501-1442
(505) 321-4231
Mailing address
621 W ALAMEDA ST APT A, SANTA FE, NM 87501-1442
(505) 321-4231
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3850
NM
Other
Enumeration date
08/01/2022
Last updated
08/03/2022
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