Individual
LAWBERT KEITH MANKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
560 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5803
(505) 404-5716
Mailing address
6924 TREE LINE AVE NW, ALBUQUERQUE, NM 87114-5973
(928) 580-2431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2025-0091
NM
Other
Enumeration date
07/31/2025
Last updated
08/11/2025
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