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Individual

ALEXA FRASER ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
8101 PALOMAS AVE NE, ALBUQUERQUE, NM 87109-5283
(505) 384-7991
Mailing address
6405 CALEY AVE NW, ALBUQUERQUE, NM 87120-3202

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary

Other

Enumeration date
12/02/2021
Last updated
12/02/2021
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