Individual
MR. HARI BAL DEV BARRY DUNAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
804 W 24TH ST, FARMINGTON, NM 87401-5407
(505) 327-9922
Mailing address
804 W 24TH ST, FARMINGTON, NM 87401-5407
(505) 327-9922
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2034
NM
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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