Individual
BEVERLY NICOLE APODACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
6313 BARNHART ST NE, ALBUQUERQUE, NM 87109-3510
(505) 715-8031
Mailing address
6313 BARNHART ST NE, ALBUQUERQUE, NM 87109-3510
(505) 715-8031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3696
NM
225XN1300X
Neurorehabilitation Occupational Therapist
OT3696
NM
Other
Enumeration date
05/13/2019
Last updated
10/25/2020
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