Individual
MARY TOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
406 N ALAMEDA ST, CARLSBAD, NM 88220-5015
(575) 234-3320
Mailing address
1210 E WALNUT ST, ROSWELL, NM 88203-7970
(575) 840-9216
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3095
NM
Other
Enumeration date
07/17/2013
Last updated
08/05/2014
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