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Individual

KAYLA RANSOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
10101 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-6022
(531) 777-3843
Mailing address
2970 ZION LN APT 103, CASPER, WY 82609-4429
(531) 777-3843

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-2024-0181
NM

Other

Enumeration date
10/16/2024
Last updated
10/16/2024
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