Individual
THERESA R TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7618 CREE CIR, SANTA FE, NM 87507-3101
(505) 424-4867
Mailing address
7618 CREE CIR, SANTA FE, NM 87507-3101
(505) 424-4867
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1376
NM
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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