Individual
HEIDI JOY MCEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
323 SOUTH 2ND STREET, TUCUMCARI, NM 88401-1112
(505) 403-5558
Mailing address
323 SOUTH 2ND STREET, TUCUMCARI, NM 88401-1112
(505) 403-5558
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2079
NM
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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