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Individual

ROBERT HINMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
14 PUESTA DEL SOL, PLACITAS, NM 87043-8825
(505) 615-1453
Mailing address
14 PUESTA DEL SOL, PLACITAS, NM 87043-8825

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212607
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3824880776
NM
Enumeration date
04/24/2014
Last updated
04/24/2014
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