Individual
ERIN GIMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4524 ROCKAWAY LOOP NE, RIO RANCHO, NM 87124-4698
(314) 322-7604
Mailing address
4524 ROCKAWAY LOOP NE, RIO RANCHO, NM 87124-4698
(314) 322-7604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1661
MT
225X00000X
Occupational Therapist
2179
CO
225X00000X
Occupational Therapist
Primary
242781
OR
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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