Individual
SUSAN WOLTERSTORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 HOSPITAL LOOP NE, ALBUQUERQUE, NM 87109-2115
(505) 348-8247
Mailing address
103 HOSPITAL LOOP NE, ALBUQUERQUE, NM 87109-2115
(505) 348-8247
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3041
NM
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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