Individual
MRS. ANDREA LEA GAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR,L
Contact information
Practice address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4204
(505) 880-3700
Mailing address
7404 SULKY DR NE, ALBUQUERQUE, NM 87109-6804
(505) 797-1270
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1539
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000B9176
—
NM
Enumeration date
04/04/2007
Last updated
07/08/2007
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