Individual
MS. CARRIE LYNETTE GASHYTEWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTRL
Contact information
Practice address
10 NORTH SANDY SPRINGS ROAD, ZUNI, NM 87327
(505) 782-4443
(505) 782-2600
Mailing address
PO BOX 1023, ZUNI, NM 87327-1023
(505) 782-6510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2304
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83283536
—
NM
Enumeration date
02/28/2007
Last updated
07/08/2007
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