Individual
COLIN T BAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
8005 PENNSYLVANIA CIR NE STE A, ALBUQUERQUE, NM 87110-7848
(505) 433-2146
(505) 508-2305
Mailing address
3017 CAMILO LN NW, ALBUQUERQUE, NM 87104-2826
(505) 280-9096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3691
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710296496
—
NM
Enumeration date
03/22/2017
Last updated
03/22/2017
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