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Organization

WILD ROSE HAND THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KRISTIN ANN FORNO MOTR/L (OCCUPATIONAL THERAPIST)
(970) 779-0223
Entity
Organization

Contact information

Practice address
1348 PACHECO ST, UNIT 104, SANTA FE, NM 87505-4222
(970) 779-0223
Mailing address
762 CAMINO FRANCISCA, SANTA FE, NM 87506-6000
(970) 779-0223

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary

Other

Enumeration date
09/15/2016
Last updated
09/15/2016
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