Individual
MR. ROBERT ARTHUR SIDWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
992 S BROADWAY ST, TRUTH OR CONSEQUENCES, NM 87901-3198
(505) 894-4269
Mailing address
702 E 7TH AVE, TRUTH OR CONSEQUENCES, NM 87901-1902
(505) 894-6923
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2006
NM
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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