Individual
BARBARA SURROCK AMSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
224 N CAMINO DEL PUEBLO, BERNALILLO, NM 87004-6146
(505) 404-2757
Mailing address
224 N CAMINO DEL PUEBLO, BERNALILLO, NM 87004-6146
(505) 404-2757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1271
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S4862
—
NM
Enumeration date
01/17/2007
Last updated
07/08/2007
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