Individual
ROXANNE MICHELLE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL/R
Contact information
Practice address
36 LONGVIEW RD, SANDIA PARK, NM 87047-9335
(505) 362-3708
Mailing address
36 LONGVIEW RD, SANDIA PARK, NM 87047-9335
(505) 362-3708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2278
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30887551
—
NM
Enumeration date
07/11/2008
Last updated
07/11/2008
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