Individual
MEGAN SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR ATP
Contact information
Practice address
2611 EUBANK BLVD NE, ALBUQUERQUE, NM 87112-1312
(505) 298-6752
Mailing address
3217 20TH AVE SE, RIO RANCHO, NM 87124-1661
(505) 922-9756
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1449
NM
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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