Individual
DORA M. FEDERICO-REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1005 LUJAN HILL RD, LAS CRUCES, NM 88007-6304
(575) 523-4573
Mailing address
60 G ST, ROSWELL, NM 88203-8123
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OTA3299
NM
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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