Individual
MS. KELLIE ANN PRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
800 GUADALUPE CIR NW, ALBUQUERQUE, NM 87114-1710
(505) 897-8272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2750
NM
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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