Individual
CRAIG CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4725
Mailing address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4282
NM
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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