Individual
MISS KRISTEN HARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9150 MCMAHON BLVD NW, ALBUQUERQUE, NM 87114-5201
(505) 898-7986
Mailing address
716 SLATE AVE NW, ALBUQUERQUE, NM 87102-2002
(505) 514-5853
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3089
NM
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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