Individual
MOLLY HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9150 MCMAHON BLVD NW, ALBUQUERQUE, NM 87114-5201
(505) 898-7986
Mailing address
10501 MILKY WAY ST NW, ALBUQUERQUE, NM 87114-4162
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2306
NM
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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