Individual
MRS. AMY RENAE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3101 N FLORIDA AVE, ALAMOGORDO, NM 88310-9713
(575) 434-0033
Mailing address
3981 WOOD LOOP, ALAMOGORDO, NM 88310-5495
(575) 442-9023
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1697
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9058
—
NM
Enumeration date
01/18/2007
Last updated
08/03/2009
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