Individual
PATRICIA BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
119 LUNA AVE., LOS LUNAS, NM 87031
(505) 866-8338
Mailing address
PO BOX 90813, ALBUQUERQUE, NM 87199-0813
(505) 412-2855
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3705
NM
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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