Individual
VANESSA MARIE COLONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
901 DOUGLAS AVE, LAS VEGAS, NM 87701-3928
(505) 454-2703
Mailing address
901 DOUGLAS AVE, LAS VEGAS, NM 87701-3928
(505) 454-2703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4657
NM
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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