Individual
CAROLE POPPENDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
(505) 291-2670
Mailing address
9108 SURREY RD NE, ALBUQUERQUE, NM 87109-6802
(505) 797-2079
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1174
NM
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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