Individual
MS. BECKY WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
408 N CANYON ST, CARLSBAD, NM 88220-5812
(505) 234-3369
Mailing address
1308 W WASHINGTON AVE, ARTESIA, NM 88210-1723
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1366
NM
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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