Individual
SANDRA BAADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12 FIREROCK PL, SANTA FE, NM 87508-1325
(505) 699-6574
Mailing address
12 FIREROCK PL, SANTA FE, NM 87508-1325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3121
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3121
—
NM
Enumeration date
06/20/2016
Last updated
06/20/2016
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