Individual
JESSIE ELLEN SWARTZENTRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
201 14TH ST NW, ALBUQUERQUE, NM 87104-1212
(505) 331-6940
Mailing address
201 14TH ST NW, ALBUQUERQUE, NM 87104-1212
(505) 331-6940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3044
NM
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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