Individual
SARA METHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5006 COPPER AVE NE, ALBUQUERQUE, NM 87108-1301
(505) 268-7988
(505) 268-8021
Mailing address
5006 COPPER AVE NE, ALBUQUERQUE, NM 87108-1301
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0804
NM
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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