Individual
DEVON EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
3921 THAXTON AVE SE, ALBUQUERQUE, NM 87108-4358
(505) 918-2107
Mailing address
3921 THAXTON AVE SE, ALBUQUERQUE, NM 87108-4358
(505) 918-2107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2673
NM
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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