Individual
MS. JULIE KOZIOL GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6013 CARRUTHERS ST NE, ALBUQUERQUE, NM 87111-1807
(505) 249-0460
Mailing address
6013 CARRUTHERS ST NE, ALBUQUERQUE, NM 87111-1807
(505) 249-0460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1603
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B8266
—
NM
Enumeration date
02/19/2007
Last updated
07/08/2007
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