Individual
PATTY S TRUDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16208 HIGHWAY 550, AZTEC, NM 87410-2882
(505) 334-5316
(505) 334-5316
Mailing address
PO BOX 1660, AZTEC, NM 87410-4660
(505) 334-5316
(505) 334-5316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
728
NM
Other
Enumeration date
12/30/2012
Last updated
12/30/2012
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