Individual
JESSICA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-7111
Mailing address
13712 PRUITT DR NE, ALBUQUERQUE, NM 87112-6326
(505) 264-7332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3106
NM
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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