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Individual

TATSUKI HEWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
4216 BALLOON PARK RD NE, ALBUQUERQUE, NM 87109-5801
(505) 344-9343
Mailing address
5808 MIMOSA PL NE, ALBUQUERQUE, NM 87111-6230
(505) 271-1355

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3104
NM
225XP0200X
Pediatric Occupational Therapist
3104
NM

Other

Enumeration date
08/02/2013
Last updated
04/11/2024
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