Individual
LUDIVINA OPHELIA GURULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
313 W 2ND ST, ROSWELL, NM 88201-4609
(575) 622-4206
(575) 622-4206
Mailing address
1102 LE ANN DR, ROSWELL, NM 88201-1061
(575) 622-4206
(575) 622-4206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2481
NM
Other
Enumeration date
08/11/2008
Last updated
08/05/2015
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