Individual
MS. COBY L LIVINGSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
303 E BUENA VISTA ST, SUITE 5, SANTA FE, NM 87505-2675
(505) 259-3672
Mailing address
303 E BUENA VISTA ST, SUITE 5, SANTA FE, NM 87505-2675
(505) 259-3672
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT#0655
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1585
OCCUPATIONAL THERAPIST
OK
01
—
3146
NM OCCUPATIONAL THERAPY LICENSE
NM
01
—
5515
CERTIFIED VISION REHABILITATION THERAPIST
—
01
—
OT#0655
STATE LICENSE
AZ
Enumeration date
02/13/2007
Last updated
07/18/2014
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