Individual
CYNTHIA JEAN SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
110 W COUNTRY CLUB RD, SUITE 3, ROSWELL, NM 88201-0618
(505) 623-2292
(505) 623-2255
Mailing address
110 W COUNTRY CLUB RD, SUITE 3, ROSWELL, NM 88201-0618
(505) 623-2292
(505) 623-2255
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
295
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31353282
—
NM
Enumeration date
05/15/2006
Last updated
04/25/2013
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